Jennifer Michelle Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001769 Issued in CT

Practice address

262 Boston Post Road
Unit #8
Waterford, CT 06385-2053

Phone

(860) 439-0597

Fax

(860) 439-0691

NPI assigned

Jun 25, 2008

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Female

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 CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hutter Chiropractic LLC

  • Chiropractor
  • Groton, CT
  • NPI 1396844304
  NPD (past)
• Orthopedic Physical Therapy of Southern New England LLC

  • Specialist
  • Norwich, CT
  • NPI 1043488059
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1144481862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BOSTON POST ROAD",
            "address_2": "UNIT #8",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852053",
            "telephone_number": "860-439-0597",
            "fax_number": "860-439-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 BOSTON POST ROAD",
            "address_2": "UNIT #8",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852053",
            "telephone_number": "860-439-0597",
            "fax_number": "860-439-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelina Nicole Jakuba, MS, APRN, FNP-BC
• Brenna Lauren Jaskiewicz, MS
• Vijay Jayaraman, M.D
• Joshua S. John, DMD
• Paul E. Johnson, M.D.
• Jr Drew & Ep Raccio, D.M.D.
• Jwa Services Inc (Simply Pharmacy Long-Term Care)
• Jwa Services Inc (Simply Pharmacy)
• Kab Counseling Services PLLC
• Arikka Kirstin Kalwara, M.S./CAGS

• Chiropractor in Waterford, CT
• Providers in Waterford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.