Jordan Oriental Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0101 Issued in AZ

Legal business name

JORDAN ORIENTAL MEDICINE, LLC

Practice address

104 S. Stellar Park Way
Chandler, AZ 85226-8522

Phone

(480) 350-7532

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jessica B. M. Jordan, PHD, MSOM, DIPL.ACNPI 1285136739

Title

Owner/Doctor

Phone

(480) 350-7532

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica B. M. Jordan, PHD DIPL AC MSOM LAC

  • Acupuncturist
  • Chandler, AZ
  • NPI 1285136739
  NPD (past) Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1124522958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. STELLAR PARK WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852268522",
            "telephone_number": "480-350-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. STELLAR PARK WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852268522",
            "telephone_number": "480-350-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN ORIENTAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "B. M.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-350-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MSOM, DIPL.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "0101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Lawrence Jones, DDS
• Ronald Irvin Jones, M.D.
• Sheba Nasha Jones, RDH
• Shveta Jones, P.T.
• Sun H Jones, FNP
• Cynthia G Jordan, M.D.
• Jessica B. M. Jordan, PHD DIPL AC MSOM LAC
• Justin T Jordan, M.D.
• Terry L Jordan
• Colten Jording

• Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.