Active NPI
Robert Christopher Jordan, DVM
- Veterinarian
- Kailua Kona, HI
National Provider Identifier
1689912891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 491
- Practice address
- 73-4730 Old Mamalahoa Hwy
Kailua Kona, HI 96740-8636 - Phone
- (808) 325-6637
- Fax
- (808) 325-6638
- NPI assigned
- Jan 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 491 | HI | Primary |
Addresses
Primary practice location
73-4730 Old Mamalahoa Hwy
Kailua Kona, HI 96740-8636
Mailing address
73-4730 Old Mamalahoa Hwy
Kailua Kona, HI 96740-8636
Phone (808) 325-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | HI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kona Animal Care Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1689912891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-4730 OLD MAMALAHOA HWY",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408636",
"telephone_number": "808-325-6637",
"fax_number": "808-325-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73-4730 OLD MAMALAHOA HWY",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408636",
"telephone_number": "808-325-6637",
"fax_number": "808-325-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "ROBERT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "HI",
"license": "491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
- Roma J L Johnson, AUD
- April Ellen Johnston, LAC
- Bonnie L Jones, LMT
- Michael A Jones, DDS
- Rojel Jonithen
- Joy a McElroy MD Inc (West Hawaii Medical Group Hualalai Urgent Care)
- Kahalu'U Bay Medical Center
- Cody Lapaela Kahulamu, RBT LICENSE
- Kaiser Foundation Health Plan (Kaiser Kona Clinic Radiology)
- Kaiser Foundation Health Plan Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.