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MR. AMOS JORDAN JR.
NPI 1114875374
Specialist - Prosthetics Case Management in Knightdale, NC

Active since March 20, 2026
1110 CANNONBALL RUN APT 206, KNIGHTDALE, NC 27545(301) 633-0510 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Amos Jordan Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. AMOS JORDAN JR. (NPI 1114875374) is an individual prosthetics case management provider in Knightdale, North Carolina, licensed in North Carolina (C20217) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1114875374
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameMR. AMOS JORDAN JR.
Location Address1110 CANNONBALL RUN APT 206Knightdale, NC 27545-6655
Mailing Address1110 Cannonball Run Apt 206Knightdale, NC 27545-6655 · (301) 633-0510
Phone(301) 633-0510
Sole ProprietorYes
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1114875374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in NC · C20217
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1110 CANNONBALL RUN APT 206, Knightdale, NC 27545
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amos Jordan's NPI number?

The NPI number for Amos Jordan is 1114875374. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Amos Jordan located?

Amos Jordan practices at 1110 Cannonball Run Apt 206, Knightdale, NC 27545. The listed phone number is (301) 633-0510.

What is Amos Jordan's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Amos Jordan was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.