Active NPI
Jordan Family Chiropractic
- Chiropractor
- Aiken, SC
National Provider Identifier
1790969392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1790
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie A. Jordan, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1790 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Aiken, SC
- NPI 1982686895
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.