Jordan Gaddis D.D.S. a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

101617 Issued in CA

Legal business name

JORDAN GADDIS D.D.S. A PROFESSIONAL DENTAL CORPORATION

Practice address

2835 Eastern Ave Ste 3
Sacramento, CA 95821-5400

Phone

(916) 486-8558

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Jordan Gaddis

Title

Dentist

Phone

(916) 206-6902

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Edward White, DDS

  • Dentist
  • Sacramento, CA
  • NPI 1730300658
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1790263887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 EASTERN AVE STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215400",
            "telephone_number": "916-486-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 EASTERN AVE STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215400",
            "telephone_number": "916-486-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN GADDIS D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-206-6902"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Jonutz, RBT
• Clint Jonutz, CP
• Jayne Joo, M.D.
• Seohyun Joo, PH.D.
• Kit Joos
• Jordan Medical Corporation
• Jennifer Ann Jordan, M.D.
• Jennifer Lynne Jordan, CNM
• Jennipher Jordan, BCBA
• Jenny Mae Jordan

• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.