Jordan Alan Tittle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14335 Issued in TX

Practice address

15401 Debba Dr
Lakeway, TX 78734-3628

Phone

(512) 522-7637

Fax

(512) 548-7660

NPI assigned

Jan 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 and National Provider Directory roles.

• Helix Physical Therapy & Chiropractic LLC

  • Physical Therapist
  • Lakeway, TX
  • NPI 1962116608

  Chiropractor

  Medicare reassignment NPD
• Peak Physical Medicine and Wellness PLLC

  • Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1679305510
  NPD (past)

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1659902708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ACME BRICK PLZ STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094124",
            "telephone_number": "817-882-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 DEBBA DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343628",
            "telephone_number": "512-522-7637",
            "fax_number": "512-548-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Acme Brick Plz Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094124",
            "country_code": "US",
            "telephone_number": "817-882-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITTLE",
        "first_name": "JORDAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Harbor at Lakeway
• The Volt Chiropractic
• Mary Theoktisto
• Madeline Rotundo Thomas
• Titanium Dental Group PLLC
• Laura Angele Toliver, FNP
• Stephanie N Torres-Ramos, PH.D.
• Kristen Torres, SPEECH PATHOLOGIST
• Deanna Traubel, PT, DPT
• Katelyn C Trimba, MD

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.