Individual provider Active NPI

Jordann Marie Gudorf, DC

  • Chiropractor
  • Brookville, OH
National Provider Identifier
1730974353
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05449 Issued in OH
Practice address
582 Upper Lewisburg Salem Rd
Brookville, OH 45309-9655
Phone
(937) 833-4200
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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-05449 OH Primary

Addresses

Primary practice location

582 Upper Lewisburg Salem Rd
Brookville, OH 45309-9655

Mailing address

582 Upper Lewisburg Salem Rd
Brookville, OH 45309-9655
Phone (937) 833-4200

Other practice location 1

215 S Garber Dr
Tipp City, OH 45371-1183
Phone (937) 667-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424000160 OH Practitioner - Chiropractic 1153847082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hummel and Hummel, Inc.Group PAC ID 2668412487, 4 clinicians

Practice addresses (Care Compare)

582 Upper Lewisburg Salem Rd
Brookville, OH 45309-9655
Phone (937) 833-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hummel & Hummel, Inc. Chiropractor CurrentSince Apr 15, 2025 Accepting new patients
Hummel & Hummel, Inc. Chiropractor Current Accepting new patients

Locations

582 Upper Lewisburg Salem Rd
Brookville, OH 45309
Phone (937) 833-4200

215 S Garber Dr
Tipp City, OH 45371
Phone (937) 667-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1730974353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 UPPER LEWISBURG SALEM RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453099655",
            "telephone_number": "937-833-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 UPPER LEWISBURG SALEM RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453099655",
            "telephone_number": "937-833-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Garber Dr",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453711183",
            "country_code": "US",
            "telephone_number": "937-667-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDORF",
        "first_name": "JORDANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.