Individual provider Active NPI

Caitlin Jordan, DC

  • Chiropractor
  • Gibsonia, PA
National Provider Identifier
1073001087
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011362 Issued in PA
Practice address
1004 James LN
Gibsonia, PA 15044-9785
Phone
(724) 443-2571
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011362 PA Primary

Addresses

Primary practice location

1004 James LN
Gibsonia, PA 15044-9785

Mailing address

1004 James LN
Gibsonia, PA 15044-9785
Phone (412) 779-2167

Other practice location 1

4491 School Rd S
Murrysville, PA 15632-1809
Phone (724) 519-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107000227 PA Practitioner - Chiropractic 7810241049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4314 Old William Penn Hwy
Suite 103
Monroeville, PA 15146-1455
Phone (412) 646-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Performance and Spine, LLC CurrentSince Nov 9, 2018 Accepting new patients
Vitality Chiropractic & Rehab, LLC Chiropractor CurrentSince Jan 20, 2021 Accepting new patients

Locations

4314 Old William Penn Hwy
Ste 103
Monroeville, PA 15146
Phone (412) 646-1991

4491 School Rd S
Murrysville, PA 15632
Phone (724) 519-8261

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1073001087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 JAMES LN",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449785",
            "telephone_number": "412-779-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 JAMES LN",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449785",
            "telephone_number": "724-443-2571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4491 School Rd S",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156321809",
            "country_code": "US",
            "telephone_number": "724-519-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAITLIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.