Jordan a. Tortorich DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JORDAN A. TORTORICH DDS PLLC

Practice address

4909 Highway 5 N Ste 1200
Bryant, AR 72022-7066

Phone

(501) 481-8178

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Tortorich, DDSNPI 1457626806

Title

DDS/Owner

Phone

(501) 481-8178

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jordan A Tortorich

  • Oral and Maxillofacial Surgery (Dentist)
  • Little Rock, AR
  • NPI 1457626806
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1730829326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 HIGHWAY 5 N STE 1200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227066",
            "telephone_number": "501-481-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 HIGHWAY 5 N STE 1200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227066",
            "telephone_number": "501-481-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN A. TORTORICH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "TORTORICH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "501-481-8178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250504679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Jones
• Julie Jones, LPC
• Kristi Leigh Jones, NURSE PRACTITIONER
• Ryan Kenneth Jones
• Susan Jones, LPC
• Michael Timothy Juola, LPC
• Jessica Joy Alease Kane
• Karrot Transportation LLC
• Venus Kato, COTA/L
• Cheryl Ann Kelley, RN

• Oral and Maxillofacial Surgery (Dentist) in Bryant, AR
• Providers in Bryant, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.