Greg Jorgensen, DMD, Ms PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GREG JORGENSEN, DMD, MS PC

Doing business as

Jorgensen Orthodontics

Practice address

1401 Barbara Loop SE
Rio Rancho, NM 87124-1056

Phone

(505) 891-9440

Fax

(505) 994-9743

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Lynette Butts

Title

Financial Coordinator

Phone

(505) 891-9440

Specialties & licenses 1

Addresses

Other names 1

• Jorgensen Orthodontics Doing business as

Practitioners 1

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

• Gregory J Jorgensen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rio Rancho, NM
  • NPI 1770669368
  NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1902460033",
    "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",
            "fax_number": "505-994-9743"
        },
        {
            "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",
            "fax_number": "505-994-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG JORGENSEN, DMD, MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "505-891-9440"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jorgensen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Graves
• Lora Alexandria Louise Green
• Nicole Trene Green, LPCC
• Simone Green, M.D.
• Melissa N. Greene, BSW
• Michelle Richins Grega, RDH
• Shannon Nicole Gregg, RD, LD
• Carol Susan Griffith I, P.T.A.
• Jill H Griggs, MA, LPCC, NCC
• Ruth Grodinsky, LMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.