Jordan Karl Mecham, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Delta, UT
NPI 1265816953 · NPPES record last updated Aug 13, 2015
Key facts
- NPI
- 1265816953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 9407716-1202 (UT)
- Practice address
- 60 S 300 E
Delta, UT 84624-5551 - Phone
- (435) 864-2000
- Fax
- (435) 864-2002
- NPI assigned
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 E Main St
Delta, UT 84624-8497
Phone (435) 864-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516002248 | UT | Practitioner - Chiropractic | 5193032860 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Chiropractic and Sports Rehabilitation Center LLC | Rehabilitation | Current |
Accepting new patients |
Locations
111 E Main St
Delta, UT 84624
Phone (435) 864-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 9407716-1202 | UT | Yes |
Addresses
Primary practice location
60 S 300 E
Delta, UT 84624-5551
Mailing address
60 S 300 E
Delta, UT 84624-5551
Phone (435) 864-2000
Other providers in Delta, UT
- Mandy Lynn Lemmon
- Robert Bennion Lloyd
- Lovell Pharmacy LLC
- Karen L Malin
- Janna McDonald
- Merit Dental Group
- Millard County Care & Rehabilitation Inc
- Millard County Oral & Facial Surgery PLLC
- Millard School District
- Susan Thomander Mooney
All providers in Delta, UT · Rehabilitation Chiropractor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.