Active NPI
Jordan West, DC
- Chiropractor
- Chesapeake, VA
National Provider Identifier
1649980616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557875
- Practice address
- 705 Quince PL
Chesapeake, VA 23320-0769 - Phone
- (757) 410-2793
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557875 | VA | Primary |
Addresses
Primary practice location
705 Quince PL
Chesapeake, VA 23320-0769
Mailing address
5272 Holy Neck Rd
Suffolk, VA 23437-9399
Phone (757) 633-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104557875 | Other | VA | BOARD OF MEDICINE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557875 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1649980616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5272 HOLY NECK RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234379399",
"telephone_number": "757-633-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 QUINCE PL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200769",
"telephone_number": "757-410-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "JORDAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MEDICINE",
"identifier": "0104557875",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.