Jordan Richard Jensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13997 Issued in TX

Practice address

1802 E 50TH St Unit 112
Lubbock, TX 79404-4006

Phone

(806) 747-2735

NPI assigned

Mar 12, 2019

Last updated

Jan 15, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Family Chiropractic LLCGroup PAC ID 6608046917, 5 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.

• Cornerstone Family Chiropractic LLC

  • Chiropractor
  • Auburn, AL
  • NPI 1386930410
  Medicare reassignment Care Compare group NPD
• CFC2 LLC

  dba Cornerstone Family Chiropractic

  • Chiropractor
  • Phenix City, AL
  • NPI 1982292512
  Medicare reassignment NPD
• Gordon D Elder DC PA

  dba Blair Chiropractic Clinic

  • Clinic/Center
  • Lubbock, TX
  • NPI 1497120729
  NPD

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1437617149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 ELGIN AVE APT 8C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231402",
            "telephone_number": "334-663-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E 50TH ST UNIT 112",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794044006",
            "telephone_number": "806-747-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JORDAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437617149",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@blairclinic.com",
            "affiliation": "N",
            "address_1": "1802 E 50th St Unit 112",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794044006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary H Jenkins, CNA
• Jennifer Morse, M.a., LPC, PLLC
• Shirmar Lavance Jennings
• Delaney Nicole Jenschke, MD
• Chloe Ansmarie Jensen, MD
• William Jeong, DDS
• Jeremiah Graff DPM P a (Texas Cetner for Foot & Ankle Surgery)
• Michael Xincheng Ji, MD
• Francisco Eduardo Jimenez Pacheco
• Amanda Alysha R Jimenez

• Chiropractor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.