Individual provider Active NPI

Eric S Jodon, DC

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1467510230
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
4500 S Hagadorn Road
East Lansing, MI 48823
Phone
(517) 324-5433
Fax
(517) 324-9594
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009376 PA
Chiropractor 111N00000X 2301009397 MI
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

4500 S Hagadorn Road
East Lansing, MI 48823

Mailing address

4500 S Hagadorn Road
East Lansing, MI 48823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010574ILMDChiropractor
DC009376PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Chiropractic Center P L L C Chiropractor PastSince Oct 31, 2011 Accepting new patients
Sanford Chiropractic Center PC Chiropractor PastSince Nov 3, 2011 Accepting new patients
Waverly Chiropractic Center P.L.L.C. Chiropractor Past Accepting new patients
Ledges Chiropractic Center PLLC Chiropractor PastSince Nov 4, 2011 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1467510230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S HAGADORN ROAD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S HAGADORN ROAD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-324-5433",
            "fax_number": "517-324-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODON",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009376",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009397",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.