Individual provider Active NPI

Ronnie Jay Nordan, D.C.

  • Chiropractor
  • Anniston, AL
National Provider Identifier
1205055795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1623 Issued in AL
Practice address
2427 Al Highway 202 Ste F
Anniston, AL 36201-5391
Phone
(256) 237-1966
Fax
(256) 235-2885
NPI assigned
Apr 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1623 AL Primary

Addresses

Primary practice location

2427 Al Highway 202 Ste F
Anniston, AL 36201-5391

Mailing address

2427 Al Highway 202 Ste F
Anniston, AL 36201-5391
Phone (256) 237-1966

Other identifiers 1

IdentifierTypeStateIssuer
51075283OtherALBCBS ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000443 AL Practitioner - Chiropractic 6709049687 Practice locations: Anniston, AL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2427 Al Hwy 202
Suite F
Anniston, AL 36201-5391
Phone (256) 237-2273

2427 Al Hwy 202 F
Anniston, AL 36201-5391

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205055795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 AL HIGHWAY 202 STE F",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015391",
            "telephone_number": "256-237-1966",
            "fax_number": "256-235-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 AL HIGHWAY 202 STE F",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015391",
            "telephone_number": "256-237-1966",
            "fax_number": "256-235-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDAN",
        "first_name": "RONNIE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "51075283",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

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.
  • 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.