Active NPI
Payton Jordon, DC
- Chiropractor
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1915
- Practice address
- 7012 Kingsmill CT
Springfield, IL 62711-7387 - Phone
- (217) 891-4551
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1915 | ID | Primary |
Addresses
Primary practice location
7012 Kingsmill CT
Springfield, IL 62711-7387
Mailing address
7012 Kingsmill CT
Springfield, IL 62711-7387
Phone (217) 891-4551
Other practice location 1
2300 S Orchard St Ste B
Boise, ID 83705-6723
Phone (208) 383-3703
Other practice location 2
50 S Broadway Ave
Boise, ID 83702-7283
Phone (208) 345-2211
Other practice location 3
1016 E Chicago St Ste 105
Caldwell, ID 83605-5532
Phone (208) 453-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220504002849 | IL | Practitioner - Chiropractic | 5193057388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 Ginger Creek Dr
Suite B
Springfield, IL 62711-7279
3330 Ginger Creek Dr
Suite B
Springfield, IL 62711-9626
Phone (217) 280-5513
3330 Ginger Creek Dr B
Springfield, IL 62711-9626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1915 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herrin Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Storey Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
| Explore Wellness, PLLC | Chiropractor | Past | Accepting new patients |
Locations
1016 E Chicago St
Ste 105
Caldwell, ID 83605
Phone (208) 453-6311
Organizations & group practices 4
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.
-
- Chiropractor
- Caldwell, ID
- NPI 1760068589
-
- Chiropractor
- Boise, ID
- NPI 1164922845
-
- Chiropractor
- Boise, ID
- NPI 1669782967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1285199166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 KINGSMILL CT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117387",
"telephone_number": "217-891-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7012 KINGSMILL CT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117387",
"telephone_number": "217-891-4551"
}
],
"practiceLocations": [
{
"address_1": "2300 S Orchard St Ste B",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837056723",
"country_code": "US",
"telephone_number": "208-383-3703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837027283",
"country_code": "US",
"telephone_number": "208-345-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1016 E Chicago St Ste 105",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836055532",
"country_code": "US",
"telephone_number": "208-453-6311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDON",
"first_name": "PAYTON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.