Individual provider Active NPI

Gregory J Jorgensen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rio Rancho, NM
National Provider Identifier
1770669368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD-1715 Issued in NM
Practice address
1401 Barbara Loop SE
Rio Rancho, NM 87124-1056
Phone
(505) 891-9440
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD-1715 NM Primary

Addresses

Primary practice location

1401 Barbara Loop SE
Rio Rancho, NM 87124-1056

Mailing address

1401 Barbara Loop SE
Rio Rancho, NM 87124-1056
Phone (505) 891-9440

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

LicenseStateTypeSpecialty
DD-1715NMMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jorgensen Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Sep 11, 2022 Accepting new patients
Greg Jorgensen, DMD, Ms PC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

1401 Barbara Loop SE
Rio Rancho, NM 87124
Phone (505) 891-9440

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770669368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BARBARA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241056",
            "telephone_number": "505-891-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BARBARA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241056",
            "telephone_number": "505-891-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD-1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.