NPIMap

Organization Active NPI

Jordan E Sajovic, PC

Doing business as ELITE Chiropractic & Injury Rehab

  • Chiropractor
  • Salem, OR
National Provider Identifier
1982186607
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5036 Issued in OR
Legal business name
JORDAN E SAJOVIC, PC
Doing business as
ELITE Chiropractic & Injury Rehab
Practice address
2150 Commercial St SE BSMT Suite
Salem, OR 97302-5379
Phone
(971) 409-2092
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. Jordan Edward Sajovic, DCNPI 1306113451
Title
President
Phone
(971) 409-2092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5036 OR Primary

Addresses

Primary practice location

2150 Commercial St SE BSMT Suite
Salem, OR 97302-5379

Mailing address

2150 Commercial St SE BSMT Suite
Salem, OR 97302-5379

Other names 1

  • ELITE Chiropractic & Injury Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404002661 OR Part B Supplier - Clinic/Group Practice 8527309376 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

2150 Commercial St SE
Ste 10
Salem, OR 97302
Phone (971) 707-4706

2150 Commercial St SE
Bsmt
Salem, OR 97302
Phone (971) 409-2092

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1982186607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE BSMT SUITE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE BSMT SUITE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025379",
            "telephone_number": "971-409-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN E SAJOVIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "SAJOVIC",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-409-2092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE Chiropractic & Injury Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.