Active NPI
Jordan Lee Poss, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ames, IA
National Provider Identifier
1942578349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 08850
- Practice address
- 4611 Mortensen Rd
#108
Ames, IA 50014-6227 - Phone
- (515) 292-9014
- NPI assigned
- Dec 13, 2011
- Last updated
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 08850 | IA | Primary |
Addresses
Primary practice location
4611 Mortensen Rd
#108
Ames, IA 50014-6227
Mailing address
4611 Mortensen Rd
#108
Ames, IA 50014-6227
Phone (515) 292-9014
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08850 | IA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1942578349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 MORTENSEN RD",
"address_2": "#108",
"city": "AMES",
"state": "IA",
"postal_code": "500146227",
"telephone_number": "515-292-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 MORTENSEN RD",
"address_2": "#108",
"city": "AMES",
"state": "IA",
"postal_code": "500146227",
"telephone_number": "515-292-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSS",
"first_name": "JORDAN",
"middle_name": "LEE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IA",
"license": "08850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.