Jared Edward Jodon

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4179 Issued in SC

Practice address

149 Riverwalk Blvd
Suite 6
Ridgeland, SC 29936-8190

Phone

(843) 645-4325

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jodon Chiropractic Clinic Inc.

  • Chiropractor
  • Ridgeland, SC
  • NPI 1831637065
  NPD Authorized official

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1033650304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HATHAWAY LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 6",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-645-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODON",
        "first_name": "JARED",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper County Board of Disabilities and Special Needs
• Jasper County School District
• Jasper Therapy Group LLC
• Dnaisha Mia Jenkins
• Jodon Chiropractic Clinic Inc.
• Jessica Virginia Johnson, LPC
• Laura M Johnson
• Samantha Johnson
• Benita Kim Jones, MS
• Courtney Kaye, PHARM.D

• Chiropractor in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.