Jordan Michael Pierce, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7321 Issued in OK

Practice address

2902 S Pittsburg Ave
Tulsa, OK 74114-6133

Phone

(918) 748-8868

NPI assigned

Apr 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan Pierce DDS

  dba Dental Surgical Arts of Tulsa

  • Periodontics
  • Tulsa, OK
  • NPI 1497537534
  NPD Authorized official
• Vaught, Burchard & Assoc. Inc

  • Periodontics
  • Tulsa, OK
  • NPI 1326054156
  NPD (past)

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1609564988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 S CARSON AVE APT 1410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194695",
            "telephone_number": "580-504-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 S PITTSBURG AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146133",
            "telephone_number": "918-748-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "7321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirae Pierce
• Gabrielle Pierce
• Garrett Austin Pierce
• Hannah Faith Pierce
• Jillian Antoinette Pierce
• Keli Rebecca Pierce, PHARM.D
• Vicki Pierce
• Zachary Pierce, DO
• Martha Pierre-Paul
• Harold Pierre, MD

• Periodontics in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.