Jordan Wayne York, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

EL.2787427 Issued in CO

Practice address

1010 Depot Hill Rd
Broomfield, CO 80020-6722

Phone

(618) 980-0768

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By 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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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• Life Clinic of Co PC

  • Chiropractor
  • Centennial, CO
  • NPI 1417446261
  Medicare reassignment NPD

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1649057316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 W 69TH DR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305745",
            "telephone_number": "618-980-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DEPOT HILL RD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206722",
            "telephone_number": "618-980-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "JORDAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2787427",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "EL.2787427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wyss
• Emma Yanez
• Jennesa Yanez, MS
• Emi Yau, MA, CCC-SLP
• Yvonne Yeh, L.AC.
• Haley Yost, LPC
• Your Next Step Wellness, LLC (Painless Stride)
• Z Family Home Care LLC
• Brianna Alicia Zambrana, LPCC
• Adriana Zamora-Hernandez

• Chiropractor in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.