Individual provider Active NPI

Jordan Warner, DC

  • Chiropractor
  • Ottawa, KS
National Provider Identifier
1851059992
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06156 Issued in KS
Practice address
343 W 23Rd St Ste 4
Ottawa, KS 66067-9502
Phone
(913) 549-7967
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06156 KS Primary

Addresses

Primary practice location

343 W 23Rd St Ste 4
Ottawa, KS 66067-9502

Mailing address

12805 W 134TH PL Apt 29103
Overland Park, KS 66213-4947
Phone (209) 605-9504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001807 NC Practitioner - Chiropractic 6709277783 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
Group practices
Waves of Wellness Chiropractic PLLCGroup PAC ID 0446607634, 2 clinicians

Practice addresses (Care Compare)

473 Olde Waterford Way
Suite 118
Belville, NC 28451-4208
Phone (910) 859-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5704NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocynergy, PA Chiropractor CurrentSince Nov 18, 2023 Accepting new patients
Waves of Wellness Chiropractic PLLC Chiropractor CurrentSince Nov 18, 2023 Accepting new patients
Allegiant Health and Laser Chiropractor CurrentSince Dec 12, 2021 Accepting new patients

Locations

343 W 23rd St
Ste 4
Ottawa, KS 66067
Phone (913) 424-0324

473 Olde Waterford Way
Ste 118
Belville, NC 28451
Phone (910) 859-8359

Organizations & group practices 3

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1851059992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 W 134TH PL APT 29103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134947",
            "telephone_number": "209-605-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W 23RD ST STE 4",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679502",
            "telephone_number": "913-549-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.