Jeff S Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 24148 Issued in CA

Practice address

819 N Harbor Dr Ste a-100
Redondo Beach, CA 90277-2006

Phone

(310) 937-2600

NPI assigned

May 22, 2007

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Male

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

• The Back Center Other name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: billing@thebackcenter.com

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

• Jordan Chiropractic Corp.

  dba The Backcenter

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1740432111
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1609086537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR STE A100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-937-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR STE A-100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-937-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JEFF",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-08-26",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24148",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@thebackcenter.com",
            "affiliation": "N",
            "endpointDescription": "secure billing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 N Harbor Dr Ste A-100",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902772006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@thebackcenter.com",
            "affiliation": "N",
            "endpointDescription": "secure billing email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 N Harbor Dr Ste A-100",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902772006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@thebackcenter.com",
            "affiliation": "N",
            "endpointDescription": "secure billing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28645 S Western Ave",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902750811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THE",
            "last_name": "CENTER",
            "middle_name": "BACK",
            "credential": "DBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Nicole Janet Jontz, L. AC.
• Vania L Jonusan
• Jordan Chiropractic Corp. (The Backcenter)
• David Joseph Jordan
• Diane Marie Jordan, DC
• Kalayla Ashlei Jordan
• Robin W Josefsson, D.C.
• Kelly Ann Josephsen, PA
• Aarchan R Joshi, M.D.
• Maira Liliana Juarez, MSW

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.