Individual provider Active NPI

Jordan Matthew Lea, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1205575958
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01939 Issued in NV
Practice address
8680 W Warm Springs Rd Ste 155
Las Vegas, NV 89148-1828
Phone
(702) 413-7307
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01939 NV Primary

Addresses

Primary practice location

8680 W Warm Springs Rd Ste 155
Las Vegas, NV 89148-1828

Mailing address

2051 N Torrey Pines Dr Apt 2048
Las Vegas, NV 89108-6526
Phone (618) 979-3011

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

State licenses

LicenseStateTypeSpecialty
B01939NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Chiropractor PastSince Jun 5, 2022 Accepting new patients
Align Med PC PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1205575958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 N TORREY PINES DR APT 2048",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891086526",
            "telephone_number": "618-979-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W WARM SPRINGS RD STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481828",
            "telephone_number": "702-413-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "JORDAN",
        "middle_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.