Organization Active NPI

Jordan Family Chiropractic

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1790969392
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1790 Issued in SC
Legal business name
JORDAN FAMILY CHIROPRACTIC
Practice address
186 Fabian Dr
Aiken, SC 29803-2553
Phone
(803) 649-4747
Fax
(803) 649-9719
NPI assigned
Dec 19, 2007
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Julie A. Jordan, DCNPI 1982686895
Title
Owner/Doctor
Phone
(803) 649-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1790 SC Primary

Addresses

Primary practice location

186 Fabian Dr
Aiken, SC 29803-2553

Mailing address

186 Fabian Dr
Aiken, SC 29803-2553
Phone (803) 649-4747

Other identifiers 1

IdentifierTypeStateIssuer
CH1790MedicaidSC

National Provider Directory

National Provider Directory

Locations

186 Fabian Dr
Aiken, SC 29803
Phone (803) 641-1127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1790969392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 FABIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032553",
            "telephone_number": "803-649-4747",
            "fax_number": "803-649-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 FABIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032553",
            "telephone_number": "803-649-4747",
            "fax_number": "803-649-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "803-649-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1790",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.