Jordan Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

178 Issued in WV

Legal business name

JORDAN CHIROPRACTIC CENTER

Practice address

4024 Maccorkle Ave SW
South Charleston, WV 25309-1510

Phone

(304) 768-7671

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Jordan, D.C.

Title

Clinic Director

Phone

(304) 768-7671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra M Latimer Clevenger, MS, ATC

  • Athletic Trainer
  • South Charleston, WV
  • NPI 1265682108
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1891885729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091510",
            "telephone_number": "304-768-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091510",
            "telephone_number": "304-768-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "304-768-7671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmila Matcheswalla Jones, MD
• Shaunt'E N Jones
• Tonia M. Jones, MA, LPC
• Wanda Jones
• Raymond Joplin
• Jimmie Beth Jordan, B.A. BCABA
• Kenny Joswick
• Derrick Joyce
• Desirae Joyce
• Joseph Joyce, MD

• Chiropractor in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.