Family Greatness Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAMILY GREATNESS CHIROPRACTIC LLC

Practice address

357 S Main St
Greenville, PA 16125-1864

Phone

(724) 588-3128

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jordan D Bowen, DCNPI 1154627602

Title

Owner/Chiropractor

Phone

(724) 588-3128

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Jordan D Bowen, D.C.

  • Chiropractor
  • Greenville, PA
  • NPI 1154627602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1770148546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251864",
            "telephone_number": "724-588-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251864",
            "telephone_number": "724-588-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GREATNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "724-588-3128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104098580-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Greenville, PA
• Providers in Greenville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.