Individual provider Active NPI

Jordan Edward Sajovic, D.C.

  • Chiropractor
  • Salem, OR
National Provider Identifier
1306113451
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5036 Issued in OR
Practice address
2150 Commercial St SE Suite 10
Salem, OR 97302
Phone
(971) 707-4706
Fax
(971) 707-4705
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5036 OR Primary

Addresses

Primary practice location

2150 Commercial St SE Suite 10
Salem, OR 97302

Mailing address

2150 Commercial St SE Suite 10
Salem, OR 97302
Phone (971) 707-4706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000524 OR Practitioner - Chiropractic 9335303346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Jordan E Sajovic PCGroup PAC ID 8527309376, 2 clinicians

Practice addresses (Care Compare)

2150 Commercial St SE
Suite 10
Salem, OR 97302-5379
Phone (971) 707-4706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5036ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan E Sajovic, PC Chiropractor CurrentSince Oct 6, 2018 Accepting new patients

Locations

2150 Commercial St SE
Ste 10
Salem, OR 97302
Phone (971) 707-4706

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1306113451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE SUITE 10",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "971-707-4706",
            "fax_number": "971-707-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE SUITE 10",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "971-707-4706",
            "fax_number": "971-707-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJOVIC",
        "first_name": "JORDAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.