Individual provider Active NPI

Nixia Jordan, D.C.

  • Chiropractor
  • Woodhaven, NY
National Provider Identifier
1316494933
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X)12851 Issued in NY
Practice address
9208 Jamaica Ave.
Woodhaven, NY 11421
Phone
(718) 577-0127
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X)12851 NY Primary

Addresses

Primary practice location

9208 Jamaica Ave.
Woodhaven, NY 11421

Mailing address

92-08 Jamaica Avenue
Queens, NY 11421
Phone (718) 577-0127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618002705 AL Practitioner - Chiropractic 5799228748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7017 Wall Triana Hwy
Suite a
Madison, AL 35757-7459
Phone (256) 874-6799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X)12851NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Chiropractic Jordan Spine Care Chiropractor CurrentSince May 22, 2024 Accepting new patients

Locations

7017 Wall Triana Hwy
Ste A
Madison, AL 35757
Phone (256) 874-6799

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1316494933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-08 JAMAICA AVENUE",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-577-0127",
            "fax_number": "718-577-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 JAMAICA AVE.",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-577-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NIXIA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X)12851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.