Jordan Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10518 Issued in TX

Legal business name

JORDAN ORTHODONTICS

Practice address

6958 Garth Rd
Baytown, TX 77521-9646

Phone

(281) 839-3202

Fax

(281) 839-2021

NPI assigned

Nov 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glenwood Burnell Jordan, D.D.S, M.S.NPI 1013138445

Title

Owner

Phone

(281) 839-3202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenwood Burnell Jordan, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baytown, TX
  • NPI 1013138445
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1598091191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-839-3202",
            "fax_number": "281-839-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-839-3202",
            "fax_number": "281-839-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GLENWOOD",
        "authorized_official_middle_name": "BURNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-839-3202",
        "authorized_official_credential": "D.D.S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jones, P.A.
• Kevin T. Jones, PH.D.
• Labrekka Jones
• Renee C Jones, ADC, LCDC
• Simone Alexandria Jones, RBT
• Cassandra Jordan, LSSP
• Glenwood Burnell Jordan, DDS, MS
• Lakisha Denay Joseph
• Sheila J Joseph, LCSW
• Dee Ann Joyner-Martini

• Orthodontics and Dentofacial Orthopedics Dentistry in Baytown, TX
• Providers in Baytown, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.