NPIMap

Organization Active NPI

GCWL Spring Valley Jordan Chiropractic, Inc.

Doing business as Greenlight Chiropractic & Wellness Lab

  • Chiropractor
  • Spring Valley, CA
National Provider Identifier
1477295194
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GCWL SPRING VALLEY JORDAN CHIROPRACTIC, INC.
Doing business as
Greenlight Chiropractic & Wellness Lab
Practice address
9676 Campo Rd Ste B
Spring Valley, CA 91977-1251
Phone
(619) 465-9700
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Jordan Leal Ziegler, DCNPI 1023767324
Title
Clinical Director
Phone
(719) 321-6308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9676 Campo Rd Ste B
Spring Valley, CA 91977-1251

Mailing address

PO Box 3265
Rancho Santa Fe, CA 92067-3265

Other names 1

  • Greenlight Chiropractic & Wellness Lab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1477295194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3265",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920673265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 CAMPO RD STE B",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771251",
            "telephone_number": "619-465-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCWL SPRING VALLEY JORDAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LEAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-321-6308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenlight Chiropractic & Wellness Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.