Derek Richard Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002750A Issued in IN

Practice address

2230 Edsel LN NW Ste 1
Corydon, IN 47112-2136

Phone

(812) 734-1020

Fax

(812) 225-5145

NPI assigned

Feb 29, 2012

Last updated

Nov 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Jordan Chiropractic LLC

  • Chiropractor
  • Henryville, IN
  • NPI 1043973449
  NPD Authorized official
• Jordan Chiropractic LLC

  • Chiropractor
  • New Albany, IN
  • NPI 1306247101
  NPD (past) Authorized official
• Corydon Pain Management Clinic Inc

  • Interventional Pain Medicine Physician
  • Corydon, IN
  • NPI 1689966434

  Chiropractor

  NPD (past)
• Baker Chiropractic & Rehab, LLC

  • Chiropractor
  • Maryville, MO
  • NPI 1568617686
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1356615975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 EDSEL LN NW STE 1",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122136",
            "telephone_number": "812-734-1020",
            "fax_number": "812-225-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 EDSEL LN NW STE 1",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122136",
            "telephone_number": "812-734-1020",
            "fax_number": "812-225-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Grant Line Rd # 316",
            "address_2": "GRANT LINE CENTER",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502164",
            "country_code": "US",
            "telephone_number": "502-468-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DEREK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012006828",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jenkins, LPN
• Jewish Hospital & St. Mary's Healthcare, Inc. (Frazier Rehab Institute - Corydon)
• JLD Dental
• Michael A. Jobe, RPH
• David A Johnson, NP
• Julie S. Didat O.D P.S.C
• Natalie Katt, OD
• Linda Kaufer
• Autumn L Kaylor
• Jennifer Lynn Kellems, OD

• Chiropractor in Corydon, IN
• Providers in Corydon, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.