Individual provider Active NPI

Jordan Odle, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1518572452
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8952 Issued in AZ
Practice address
2200 N Scottsdale Rd Ste C
Scottsdale, AZ 85257-2145
Phone
(805) 443-4592
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8952 AZ Primary
Nutrition Chiropractor 111NN1001X 8952 AZ
Sports Physician Chiropractor 111NS0005X 8952 AZ

Addresses

Primary practice location

2200 N Scottsdale Rd Ste C
Scottsdale, AZ 85257-2145

Mailing address

6030 N 15TH St Unit 19
Phoenix, AZ 85014-2433
Phone (805) 443-4592

Other practice location 1

6030 N 15th St Unit 19
Phoenix, AZ 85014-2433
Phone (805) 443-4592

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
8952AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1518572452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 N 15TH ST UNIT 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142433",
            "telephone_number": "805-443-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SCOTTSDALE RD STE C",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572145",
            "telephone_number": "805-443-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 N 15th St Unit 19",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142433",
            "country_code": "US",
            "telephone_number": "805-443-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODLE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8952",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "8952",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "8952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.