Justin Harold Jordan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8362 Issued in TX

Practice address

520 E Northwest Hwy
#102
Grapevine, TX 76051-6297

Phone

(817) 328-1922

Fax

(817) 328-1933

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Genesis Family Chiropractic

  • Chiropractor
  • Plano, TX
  • NPI 1598801342
  NPD (past)
• Genesis Family Chiropractic Center

  • Chiropractor
  • Arlington, TX
  • NPI 1215110523
  NPD (past)
• Keystone Chiropractic

  • Chiropractor
  • Plano, TX
  • NPI 1932245750
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1215035753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E NORTHWEST HWY",
            "address_2": "#102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516297",
            "telephone_number": "817-328-1922",
            "fax_number": "817-328-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E NORTHWEST HWY",
            "address_2": "#102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516297",
            "telephone_number": "817-328-1922",
            "fax_number": "817-328-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JUSTIN",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F5752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxann M Jones, FNP-C
• Sarah Bethany Jones, CPM, LM
• Skyla Jones, OTD, OTR
• Theresa Hunter Jones, MS, CCC-SLP
• Heidi Ann Jordan, MD
• Mary Lynne Jordan, R.PH.
• Daven Joshi, O.D.
• Journey Learning Center
• Journey Pediatric Rehabilitation
• Journey PT and Wellness LLC

• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.