Jordan Developmental Pediatrics PC

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

26988 Issued in AZ

Legal business name

JORDAN DEVELOPMENTAL PEDIATRICS PC

Practice address

21031 N Cave Creek Rd
Ste F4
Phoenix, AZ 85024-5525

Phone

(602) 956-3141

Fax

(602) 795-1671

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Jordan, MD

Title

President

Phone

(602) 956-3141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1649229394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 N CAVE CREEK RD",
            "address_2": "STE F4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245525",
            "telephone_number": "602-956-3141",
            "fax_number": "602-795-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 N CAVE CREEK RD",
            "address_2": "STE F4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245525",
            "telephone_number": "602-956-3141",
            "fax_number": "602-795-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN DEVELOPMENTAL PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-956-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AZ",
            "license": "26988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Jong, DPM
• Laura M Jonsson, NP
• Ashlee E Jontz, ANP
• Da Eun Joo
• Jordan Cares , LLC
• Adrianna Jordan, PHARM D.
• Debra L. Jordan, PT
• Dylan Scott Jordan, PHARM. D
• Gianna Jordan, MD
• Janet Lorraine Jordan, DDS

• Developmental - Behavioral Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Developmental - Behavioral Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.