Brooke Totty Jordan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6565-C1 Issued in AL

Practice address

1206 Highway 78 E
Jasper, AL 35501-3939

Phone

(205) 221-9190

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1790267235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 MARDEN WAY",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422211",
            "telephone_number": "205-515-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013939",
            "telephone_number": "205-221-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BROOKE",
        "middle_name": "TOTTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6565-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jones, BS
• Franklin T Jones Jr., DMD
• Lindsey Marie Jones, CRNP
• Michael Lane Jones, P.T.
• Peyton Warner Jones
• Emily Anne Just, CRNP-BC
• K.C. Surgical Associates, PC
• Ivana Barbara Kajdos, MD
• Kelley Health Hospice (Southeast Hospice Network)
• Kim Plyler Kerrinnes, LPN CASE MANAGER

• General Practice Dentistry in Jasper, AL
• Providers in Jasper, AL by specialty
• General Practice Dentistry in Alabama

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