Lauren Michelle Jordan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013622 Issued in IL

Practice address

330 S Main St Ste E
Morton, IL 61550-1977

Phone

(309) 321-8377

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lauren Michelle Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jordan Spine & Rehab Center LLC

  • Clinic/Center
  • Bloomington, IL
  • NPI 1669120796
  NPD Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1477027456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST STE E",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501977",
            "telephone_number": "309-321-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST STE E",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501977",
            "telephone_number": "309-321-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Professional Pkwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792822",
            "country_code": "US",
            "telephone_number": "636-357-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018045550",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "JORDAN",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "LAUREN JORDAN, DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Reavis Johnson, M.D.
• Michelle Johnson
• William C Johnson, D.D.S.
• Ryan P Jones, P. T.
• Michelle Lynn Joos, FNP-BC
• Eric Johann Judd II, APRN-FPA, CNM
• Julie Roth, PLLC
• Norma Jean Just, M.D., M.P.H.
• Melissa Kaiser, REGISTERED NURSE
• Christine Celeste Kancius, DPM

• Chiropractor in Morton, IL
• Providers in Morton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.