Individual provider Active NPI

Jordan Spencer Lenox, DC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1740960806
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14956 Issued in TX
Practice address
6723 Highlands CT
Tyler, TX 75703-0584
Phone
(903) 400-9009
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14956 TX Primary

Addresses

Primary practice location

6723 Highlands CT
Tyler, TX 75703-0584

Mailing address

6723 Highlands CT
Tyler, TX 75703-0584
Phone (903) 400-9009

Other practice location 1

5133 Holiday Hills Rd
Tyler, TX 75708-6950
Phone (903) 216-9094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003656 TX Practitioner - Chiropractic 7416306428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6723 Highlands CT
Tyler, TX 75703-0584
Phone (903) 400-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14956TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
May Medical, PA CurrentSince Oct 22, 2023 Accepting new patients
Compass Chiropractic PLLC Chiropractor CurrentSince Dec 5, 2023 Accepting new patients

Locations

6723 Highlands Ct
Tyler, TX 75703
Phone (903) 400-9009

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1740960806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 HIGHLANDS CT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030584",
            "telephone_number": "903-400-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 HIGHLANDS CT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030584",
            "telephone_number": "903-400-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5133 Holiday Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757086950",
            "country_code": "US",
            "telephone_number": "903-216-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENOX",
        "first_name": "JORDAN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

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