Stanley S. Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

881 Issued in MS

Practice address

1725 Central Ave W
Wiggins, MS 39577-2434

Phone

(601) 928-9095

Fax

(601) 928-9383

NPI assigned

Oct 24, 2006

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MS

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carson Samuel Jordan I, DC

  • Chiropractor
  • Wiggins, MS
  • NPI 1831942416
  Medicare reassignment

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.

• Jordan Chiropractic, P.a.

  • Chiropractor
  • Wiggins, MS
  • NPI 1689428807
  NPD Authorized official
• Professional Rehabilitation Services

  dba Purvis Chiropractic Clinic

  • Chiropractor
  • Purvis, MS
  • NPI 1801079249
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1932283546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772715",
            "telephone_number": "601-928-9095",
            "fax_number": "601-928-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 CENTRAL AVE W",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772434",
            "telephone_number": "601-928-9095",
            "fax_number": "601-928-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STANLEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hymel, LPC, RN
• Amber Johnson, DPT
• Sanether Johnson
• Jordan Chiropractic, P.a.
• Carson Samuel Jordan I, DC
• Kare-in-Home Hospice, LLC (VitalCaring Group)
• Candace Kemp
• Ashton Hermetz Kramer, OT
• Christine L Ladner, FNP
• Brittany Lea Ladnier, CST/CSFA

• Chiropractor in Wiggins, MS
• Providers in Wiggins, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.