Individual provider Active NPI

Micah Jordan, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1780523258
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15867 Issued in FL
Practice address
11500 University Blvd Ste 103
Orlando, FL 32817-2155
Phone
(407) 658-6500
NPI assigned
Mar 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15867 FL Primary

Addresses

Primary practice location

11500 University Blvd Ste 103
Orlando, FL 32817-2155

Mailing address

52 Bella Lago Cir
Port Orange, FL 32129-2327
Phone (702) 544-3605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15867FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Colonial Chiropractic Office Chiropractor CurrentSince Aug 3, 2026 Accepting new patients
East Colonial Chiropractic Chiropractor PastSince Aug 3, 2026 Accepting new patients

Locations

11500 University Blvd
Ste 103
Orlando, FL 32817
Phone (407) 658-6500

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": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1780523258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BELLA LAGO CIR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292327",
            "telephone_number": "702-544-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 UNIVERSITY BLVD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172155",
            "telephone_number": "407-658-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.