Jordan Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010961 Issued in MI

Practice address

10192 Grand River Rd Ste 107
Brighton, MI 48116-6531

Phone

(810) 494-1900

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Adam N Rushford DC PLLCGroup PAC ID 2062650401, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Adam N Rushford DC PLLC

  dba Hands on Health Chiropractic

  • Chiropractor
  • Brighton, MI
  • NPI 1831439058
  Medicare reassignment Care Compare group NPD
• Nicole Bittner DC PC

  dba Hands on Health Chiropractic

  • Chiropractor
  • Brighton, MI
  • NPI 1265733513
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1104442417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10192 GRAND RIVER RD STE 107",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166531",
            "telephone_number": "810-494-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 GRAND RIVER RD STE 107",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166531",
            "telephone_number": "810-494-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paoula Choobchian, MD
• Leigh Christie, D.O.
• Christine a. Love D.D.S., M.S. PLC
• Johanna M Ciak, M.S.W.
• Thomas Thatcher Claflin, DDS
• Robert Thomas Clark, M.D.
• Classic Home Care-Livingston, Inc.
• Suzanne Marie Cleck, MSW LMSW
• Nicole Marie Clement, DPT
• Tyler Clincher

• Chiropractor in Brighton, MI
• Providers in Brighton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.