Individual provider Active NPI

Jordan Lee Aigen, D.C.

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1275694226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8184 Issued in FL
Practice address
2309 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6366
Phone
(561) 739-5393
Fax
(561) 369-5960
NPI assigned
Dec 13, 2006
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 CH8184 FL Primary

Addresses

Primary practice location

2309 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6366

Mailing address

2309 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6366
Phone (561) 739-5393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000200 FL Practitioner - Chiropractic 9234188236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2309 W Woolbright Rd
Suite 5
Boynton Beach, FL 33426-6366
Phone (561) 739-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8184FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Woolbright Spine & Rehab Inc Chiropractor CurrentSince Apr 5, 2014 Accepting new patients

Locations

2309 W Woolbright Rd
Ste 5
Boynton Beach, FL 33426
Phone (561) 739-5393

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275694226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE #5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366",
            "telephone_number": "561-739-5393",
            "fax_number": "561-369-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE #5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366",
            "telephone_number": "561-739-5393",
            "fax_number": "561-369-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIGEN",
        "first_name": "JORDAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

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.