Jordan Chiropractic Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 24148 Issued in CA

Legal business name

JORDAN CHIROPRACTIC CORP.

Practice address

819 N Harbor Dr
Suite a-100
Redondo Beach, CA 90277-2006

Phone

(310) 937-2600

Fax

(310) 937-2603

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Scott Jordan, D.C.

Title

President

Phone

(310) 937-2600

Specialties & licenses 1

Addresses

Other names 1

• THE BACKCENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff S Jordan, D.C.

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1609086537
  NPD

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1740432111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR",
            "address_2": "SUITE A-100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-937-2600",
            "fax_number": "310-937-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR",
            "address_2": "SUITE A-100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-937-2600",
            "fax_number": "310-937-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-937-2600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BACKCENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE BACKCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Jolon
• Jon M Monette DDS Inc
• Julliette Jones
• Shannon Nicole Janet Jontz, L. AC.
• Vania L Jonusan
• David Joseph Jordan
• Diane Marie Jordan, DC
• Jeff S Jordan, D.C.
• Kalayla Ashlei Jordan
• Robin W Josefsson, D.C.

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.