Organization Active NPI

Laurence D. Jordan D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1225176969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14649 Issued in CA
Legal business name
LAURENCE D. JORDAN D.C.
Practice address
1247 7TH St
Suite 301
Santa Monica, CA 90401-1642
Phone
(310) 829-2660
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence D. Jordan, D.C.NPI 1568515120
Title
Doctor
Phone
(310) 829-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14649 CA Primary

Addresses

Primary practice location

1247 7TH St
Suite 301
Santa Monica, CA 90401-1642

Mailing address

3500 W Adams Blvd
Los Angeles, CA 90018-1822
Phone (310) 829-2660

National Provider Directory

National Provider Directory

Locations

3500 W Adams Blvd
Los Angeles, CA 90018

1247 7th St
Ste 301
Santa Monica, CA 90401
Phone (310) 829-2660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225176969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181822",
            "telephone_number": "310-829-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 7TH ST",
            "address_2": "SUITE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011642",
            "telephone_number": "310-829-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE D. JORDAN D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-829-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.