Active NPI
Jordan Chiropractic Jordan Spine Care
- Chiropractor
- Madison, AL
National Provider Identifier
1063269264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- JORDAN CHIROPRACTIC JORDAN SPINE CARE
- Practice address
- 7017 Wall Triana Hwy Ste a
Madison, AL 35757-7459 - Phone
- (256) 874-6799
- Fax
- (732) 486-0287
- NPI assigned
- May 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nixia Jordan, DC
- Title
- Owner
- Phone
- (520) 591-9542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
7017 Wall Triana Hwy Ste a
Madison, AL 35757-7459
Mailing address
173 Williams Pointe Blvd SW
Huntsville, AL 35824-2000
Phone (520) 591-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7017 Wall Triana Hwy
Ste A
Madison, AL 35757
Phone (256) 874-6799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714780800000",
"number": "1063269264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WILLIAMS POINTE BLVD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358242000",
"telephone_number": "520-591-9542",
"fax_number": "732-486-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7017 WALL TRIANA HWY STE A",
"city": "MADISON",
"state": "AL",
"postal_code": "357577459",
"telephone_number": "256-874-6799",
"fax_number": "732-486-0287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDAN CHIROPRACTIC JORDAN SPINE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "NIXIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-591-9542",
"authorized_official_name_prefix": "Ms.",
"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": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.