Organization Active NPI

Jordon Enterprises, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Greensboro, NC
National Provider Identifier
1821154659
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
00593 Issued in NC
Legal business name
JORDON ENTERPRISES, INC.
Practice address
2100 Fairfax Rd
Suite 117
Greensboro, NC 27407-3009
Phone
(336) 315-5394
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mr. Ken Jordon, RRT, RCP
Title
President
Phone
(336) 315-5394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 00593 NC Primary

Addresses

Primary practice location

2100 Fairfax Rd
Suite 117
Greensboro, NC 27407-3009

Mailing address

PO Box 7100
Greensboro, NC 27417-0100

Other identifiers 1

IdentifierTypeStateIssuer
7701562MedicaidNC

National Provider Directory

National Provider Directory

Locations

2100 Fairfax Rd
Ste 117
Greensboro, NC 27407
Phone (336) 315-5394

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1821154659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274170100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FAIRFAX RD",
            "address_2": "SUITE 117",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073009",
            "telephone_number": "336-315-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDON ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "JORDON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-315-5394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT, RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "00593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.