Jordan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JORDAN CHIROPRACTIC LLC

Practice address

515 Howser Rd
Henryville, IN 47126-8612

Phone

(812) 258-7444

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Derek Richard Jordan, DCNPI 1356615975

Title

Owner/Member

Phone

(812) 258-7444

Specialties & licenses 1

Addresses

Practitioners 1

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

• Derek Richard Jordan, D.C.

  • Chiropractor
  • Corydon, IN
  • NPI 1356615975
  NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1043973449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HOWSER RD",
            "city": "HENRYVILLE",
            "state": "IN",
            "postal_code": "471268612",
            "telephone_number": "812-258-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HOWSER RD",
            "city": "HENRYVILLE",
            "state": "IN",
            "postal_code": "471268612",
            "telephone_number": "812-258-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "812-258-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Dee Garman, LICSW
• Belinda Gellhaus, R.N.
• Sara Louise Henson, ATS
• Mary Louise Holmes, PTA
• Sarah Renee Jones, PT, DPT
• Melissa Babbs Aprn LLC
• Eric Messer
• Scarlett Gleason Mikesell-Pierce, DNP, APRN, FNP-C
• Krysia Nipple
• Rem Indiana, Inc.

• All providers in Henryville, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.