Jordan Walters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05196 Issued in OH

Practice address

27 E Main St
Versailles, OH 45380-1517

Phone

(937) 526-3737

NPI assigned

Jun 28, 2022

Last updated

Dec 1, 2022By 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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Ability Chiropractic Marion LLCGroup PAC ID 2062850845, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ability Chiropractic Marion LLC

  • Chiropractor
  • Marion, OH
  • NPI 1447039672
  Medicare reassignment Care Compare group NPD
• Cain Chiropractic & Family Wellness LLC

  • Chiropractor
  • Versailles, OH
  • NPI 1760826093
  NPD
• Key Family Chiropractic

  • Chiropractor
  • Union City, IN
  • NPI 1639063704
  NPD
• Peltier Chiropractic Center LLC

  • Chiropractor
  • Marion, OH
  • NPI 1780710053
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1396477394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FRANKLIN ST STE 5",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473941818",
            "telephone_number": "850-525-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E MAIN ST",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453801517",
            "telephone_number": "937-526-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05196",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003316A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Valley Professional Corporation (Stillwater Family Care)
• Versailles Exempted Village School District
• Versailles Rehabilitation and Healthcare Center LLC
• Versailles Volunteer Life Rescue Squad, Inc
• Village of Versailles (Versailles EMS)
• Olivia Winner
• Stephen Winner, PT, DPT
• Trina Winner, PT, DPT
• Winning Edge Physical Therapy, LLC

• Chiropractor in Versailles, OH
• Providers in Versailles, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.