JORDAN DEVELOPMENTAL PEDIATRICS PC NPI 1649229394

NPI Information

  • NPI: 1649229394
  • Provider Name: JORDAN DEVELOPMENTAL PEDIATRICS PC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 21031 N CAVE CREEK RD
    STE F4
    PHOENIX, AZ
    ZIP 85024
  • Phone: (602) 956-3141

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NPI Details

JORDAN DEVELOPMENTAL PEDIATRICS PC is a developmental - behavioral pediatrics pediatrics in Phoenix, AZ. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. JORDAN DEVELOPMENTAL PEDIATRICS PC NPI is 1649229394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21031 N CAVE CREEK RD
STE F4
PHOENIX, AZ
ZIP 85024-525
Phone: (602) 956-3141
Fax: (602) 795-1671

The provider's authorized official is Timothy Jordan .
The authorized official title is President and has the following contact phone number (602) 956-3141.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 4/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics26988ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1508658MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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