Drew Douglas Jordan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06023 Issued in KS

Practice address

2604 W 9TH St N Ste 100
Wichita, KS 67203-4792

Phone

(316) 269-2692

Fax

(316) 269-4443

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan Chiropractic LLCGroup PAC ID 1355711284, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jordan Chiropractic LLC

  • Chiropractor
  • Wichita, KS
  • NPI 1639892102
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca J Jordan, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1598875569
  Medicare reassignment
• Jordan Chiropractic

  • Chiropractor
  • Wichita, KS
  • NPI 1407943434
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1902436470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W 9TH ST N STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034792",
            "telephone_number": "316-269-2692",
            "fax_number": "316-269-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W 9TH ST N STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034792",
            "telephone_number": "316-269-2692",
            "fax_number": "316-269-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DREW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Chiropractic
• Jordan Chiropractic LLC
• Courtney Paige Jordan, COTA
• Daniel L Jordan, CPTA
• Diamond Jordan
• Linda Jordan, LSCSW
• Rebecca J Jordan, DC
• Robert Lynn Jordan, PT
• Meghan Elizabeth Jorgensen, APRN
• Skylar Kay Jorgenson, OTA

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.