Organization Active NPI

Jordan Chiropractic Jordan Spine Care

  • Chiropractor
  • Madison, AL
National Provider Identifier
1063269264
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on May 4, 2024

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

Authorized official

Name
Ms. Nixia Jordan, DCNPI 1316494933
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240618002563 AL Part B Supplier - Clinic/Group Practice 4880137835 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.