Active NPI
David W Jordan, DC
- Chiropractor
- Franklin Park, IL
National Provider Identifier
1104956788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 9707 Franklin Ave
Franklin Park, IL 60131 - Phone
- (847) 451-2232
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
9707 Franklin Ave
Franklin Park, IL 60131
Mailing address
9707 Franklin Ave
Franklin Park, IL 60131
Phone (847) 451-2232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02290105 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104956788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 FRANKLIN AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "60131",
"telephone_number": "847-451-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 FRANKLIN AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "60131",
"telephone_number": "847-451-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DAVID",
"middle_name": "W",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02290105",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.