Jordan Leigh Gardinier, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06306 Issued in KS

Practice address

425 E 61St St N
Ste 1a
Park City, KS 67219

Phone

(316) 369-0037

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

Yes

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.

• True Life Chiropractic, LLC

  • Chiropractor
  • Park City, KS
  • NPI 1912740036
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Jordan Leigh Baughman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2024.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1497508113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST N",
            "address_2": "STE 1A",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-369-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST N",
            "address_2": "STE 1A",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-369-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINIER",
        "first_name": "JORDAN",
        "middle_name": "LEIGH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BAUGHMAN",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherilyn Dalke
• Dopps Family Chiropractic, LLC
• Derin Lewis Dopps, D.C.
• Dr. Melissa J House DDS PA
• Family Medical Supply, LLC
• Alexandra Nicole Godina, RN
• Mary Elizabeth Goedert, DDS
• Sean Hess, PHD, CCC-SLP
• Melissa Jane House, DDS PA
• James Gregory Kahrs, MD

• All providers in Park City, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.