Jordan Clinic Spas LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0003881 Issued in FL

Legal business name

JORDAN CLINIC SPAS LLC

Practice address

334 E Church St
Deland, FL 32724-4309

Phone

(386) 736-0465

Fax

(386) 738-9164

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher W Jordan, DCNPI 1598933046

Title

Owner/Member

Phone

(386) 736-0465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Christopher W Jordan, D.C

  • Chiropractor
  • Deland, FL
  • NPI 1598933046
  Medicare reassignment Authorized official
• Scott Allen Tucker, DC

  • Chiropractor
  • Deland, FL
  • NPI 1366002024
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1952482242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E CHURCH ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244309",
            "telephone_number": "386-736-0465",
            "fax_number": "386-738-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E CHURCH ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244309",
            "telephone_number": "386-736-0465",
            "fax_number": "386-738-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CLINIC SPAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "386-736-0465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jones, MPT
• Hugh Latimer Jones, MD
• Jay Jones
• Kristina M Jones, M.A.
• Melodye Jones, ARNP
• Christopher W Jordan, D.C
• Michelle M Jordan, MC
• David Joseph
• Ben Ju, M.D.
• Monica Rani Julapelly

• Chiropractor in Deland, FL
• Providers in Deland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.