Keith R. Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2186 Issued in OH

Practice address

11860 Clifton Blvd
Lakewood, OH 44107-2000

Phone

(216) 521-2225

Fax

(216) 521-2919

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achieve Enterprises, LLC

  • Chiropractor
  • Lakewood, OH
  • NPI 1194903229
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881803765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 CLIFTON BLVD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072000",
            "telephone_number": "216-521-2225",
            "fax_number": "216-521-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 CLIFTON BLVD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072000",
            "telephone_number": "216-521-2225",
            "fax_number": "216-521-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KEITH",
        "middle_name": "R.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2186",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jones, LPCC
• Shelby Mae Jones, LPCC-S
• David Thomas Jonke, D.D.S.
• Jennifer M Jordan
• Joyce Taylor Jordan, LISW-S, LICDC, SAP
• Mario Jordan, APRN, PMHNP-BC
• Sandra Jorgensen, CNP
• Kathleen Jouriles
• Celia Joyce, LSW
• Julie Branch Counseling

• Chiropractor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.