Organization Active NPI

Jordahl Chiropractic, LLC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1932467735
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9827 Issued in FL
Legal business name
JORDAHL CHIROPRACTIC, LLC
Practice address
933 Mill Road LN
Port Orange, FL 32127-4865
Phone
(386) 299-3434
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Je'NE N Jordahl, D.C
Title
Owner
Phone
(386) 299-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9827 FL Primary

Addresses

Primary practice location

933 Mill Road LN
Port Orange, FL 32127-4865

Mailing address

933 Mill Road LN
Port Orange, FL 32127-4865
Phone (386) 299-3434

National Provider Directory

National Provider Directory

Locations

116 Dunlawton Blvd
Ste 2
Daytona Beach Shores, FL 32118
Phone (386) 756-9484

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1932467735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MILL ROAD LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274865",
            "telephone_number": "386-299-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MILL ROAD LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274865",
            "telephone_number": "386-299-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAHL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "JORDAHL",
        "authorized_official_first_name": "JE'NE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-299-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.