Individual provider Active NPI

Jordan L Bach, D.C.

  • Chiropractor
  • Cement City, MI
National Provider Identifier
1942965728
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011075 Issued in MI
Practice address
18875 E Chicago Rd
Cement City, MI 49233-9005
Phone
(517) 740-5485
Fax
(517) 800-3067
NPI assigned
Nov 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011075 MI Primary

Addresses

Primary practice location

18875 E Chicago Rd
Cement City, MI 49233-9005

Mailing address

18875 E Chicago Rd
Cement City, MI 49233-9005
Phone (517) 740-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230425002266 IN Practitioner - Chiropractic 3476918517 Reassigns benefits to 1 organization
I20240503002102 MI Practitioner - Chiropractic 3476918517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Chiropractic PLLCGroup PAC ID 8921448234, 2 clinicians

Practice addresses (Care Compare)

18875 E Chicago Rd
Cement City, MI 49233-9005
Phone (517) 740-5485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011075MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Chiropractic, PLLC Chiropractor CurrentSince Mar 26, 2024 Accepting new patients
Coldwater Chiropractic & Wellness Center, PLLC Chiropractor CurrentSince Apr 20, 2023 Accepting new patients
Spot - Baumgartner Chiropractic & Nutritional Wellness Center PLC Chiropractor PastSince Nov 1, 2021 Accepting new patients

Locations

2655 N State Road 127
Angola, IN 46703
Phone (517) 278-2519

18875 E Chicago Rd
Cement City, MI 49233
Phone (517) 442-4805

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1942965728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18875 E CHICAGO RD",
            "city": "CEMENT CITY",
            "state": "MI",
            "postal_code": "492339005",
            "telephone_number": "517-740-5485",
            "fax_number": "517-800-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18875 E CHICAGO RD",
            "city": "CEMENT CITY",
            "state": "MI",
            "postal_code": "492339005",
            "telephone_number": "517-740-5485",
            "fax_number": "517-800-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "JORDAN",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cement City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.