Jordan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JORDAN CHIROPRACTIC LLC

Practice address

2604 W 9TH St N
Wichita, KS 67203-4731

Phone

(316) 269-2692

Fax

(316) 269-4443

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Drew Douglas Jordan, DCNPI 1902436470

Title

Owner

Phone

(316) 409-6476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

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

• Drew Douglas Jordan, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1902436470
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Rene Gomes, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1720765597
  Medicare reassignment Care Compare group NPD
• Rebecca J Jordan, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1598875569
  Medicare reassignment NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1639892102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W 9TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034731",
            "telephone_number": "316-269-2692",
            "fax_number": "316-269-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W 9TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034731",
            "telephone_number": "316-269-2692",
            "fax_number": "316-269-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-409-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nelson Jones, DO
• Tralana Evon Jones, LMSW
• Vanessa Kay Jones, APRN
• Jonson Huang MD Inc
• Jordan Chiropractic
• Courtney Paige Jordan, COTA
• Daniel L Jordan, CPTA
• Diamond Jordan
• Drew Douglas Jordan, DC
• Linda Jordan, LSCSW

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.