Active NPI
Jordan Michael Sossong, DO
- Chiropractor
- Ocala, FL
National Provider Identifier
1417483884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15148
- Practice address
- 1009 SW 16TH LN
Ocala, FL 34471-1228 - Phone
- (352) 351-3413
- NPI assigned
- May 4, 2017
- Reactivated
- Dec 3, 2024
- Last updated
- Dec 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15148 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1009 SW 16TH LN
Ocala, FL 34471-1228
Mailing address
1009 SW 16TH LN
Ocala, FL 34471-1228
Phone (352) 351-3413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Laurel Manor Dr
Suite 204
The Villages, FL 32162-5608
Phone (352) 259-0024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15148 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Theeck DC PA | Chiropractor | Current | Accepting new patients |
Locations
1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162
Phone (352) 259-0024
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": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1417483884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 SW 16TH LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344711228",
"telephone_number": "352-351-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 SW 16TH LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344711228",
"telephone_number": "352-351-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSSONG",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"deactivation_date": "2024-08-26",
"reactivation_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15148",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.