Individual provider Active NPI

Jordan Thomas Meyer, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1669980249
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04790 Issued in OH
Practice address
1409 Grandview Ave
Columbus, OH 43212-2853
Phone
(614) 401-6240
NPI assigned
Jan 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04790 OH Primary

Addresses

Primary practice location

1409 Grandview Ave
Columbus, OH 43212-2853

Mailing address

693 S Champion Ave
Columbus, OH 43205-2755
Phone (937) 570-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002797 OH Practitioner - Chiropractic 6406117043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

781 Northwest Blvd
Suite 103
Grandview Heights, OH 43212-3858
Phone (614) 401-6240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meyer Sports Therapy LLC Chiropractor CurrentSince Aug 8, 2024 Accepting new patients
Columbus Chiropractic and Rehabilitation Center, Inc. Chiropractor CurrentSince Feb 15, 2018 Accepting new patients

Locations

1409 Grandview Ave
Columbus, OH 43212
Phone (614) 401-6240

6077 Frantz Rd
Ste 103
Dublin, OH 43017
Phone (614) 389-4473

781 Northwest Blvd
Ste 103
Grandview Heights, OH 43212
Phone (614) 401-6240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1669980249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 S CHAMPION AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052755",
            "telephone_number": "937-570-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122853",
            "telephone_number": "614-401-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.