Active NPI
Jordan S Powell, DC
- Chiropractor
- Eugene, OR
National Provider Identifier
1104324672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6203
- Practice address
- 2286 Oakmont Way
Eugene, OR 97401-5519 - Phone
- (541) 484-5777
- Fax
- (541) 284-2704
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Chiropractor | 111N00000X | 6203 | OR | Primary |
Addresses
Primary practice location
2286 Oakmont Way
Eugene, OR 97401-5519
Mailing address
65 Hatton Ave Apt 302
Eugene, OR 97404-6806
Phone (318) 771-5975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 E Main St
Cottage Grove, OR 97424-2217
Phone (541) 767-3788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6203 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regen Or | Current | Accepting new patients | |
| Benessere Chiropractic | Chiropractor | Past | Accepting new patients |
| Absolute Wellness, PC | Chiropractor | Past | Accepting new patients |
Locations
2286 Oakmont Way
Eugene, OR 97401
Phone (541) 484-5777
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Eugene, OR
- NPI 1003131202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1104324672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HATTON AVE APT 302",
"city": "EUGENE",
"state": "OR",
"postal_code": "974046806",
"telephone_number": "318-771-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2286 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015519",
"telephone_number": "541-484-5777",
"fax_number": "541-284-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JORDAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.