Active NPI
Jordan Whelan
- Massage Therapist
- Espanola, NM
National Provider Identifier
1164346235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-2026-0115
- Practice address
- 18648 C Private Dr
Espanola, NM 87532 - Phone
- (505) 753-7576
- NPI assigned
- Aug 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-2026-0115 | NM | Primary |
Addresses
Primary practice location
18648 C Private Dr
Espanola, NM 87532
Mailing address
1101 Private Dr
5A Cabin 4
Embudo, NM 87531
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1164346235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PRIVATE DR",
"address_2": "5A CABIN 4",
"city": "EMBUDO",
"state": "NM",
"postal_code": "87531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18648 C PRIVATE DR",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-753-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NM",
"license": "MT-2026-0115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.