Jordan Bonham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4770 Issued in NC

Practice address

8928 US 70 Bus Hwy W
Suite 700
Clayton, NC 27520-4844

Phone

(919) 553-5505

Fax

(919) 553-5509

NPI assigned

Feb 6, 2017

Sex

Male

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centered Chiropractic PAGroup PAC ID 3577967017, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centered Chiropractic PA

  • Chiropractor
  • Clayton, NC
  • NPI 1477120806
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1992243323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 US 70 BUS HWY W",
            "address_2": "STE 700",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204847",
            "telephone_number": "919-553-5505",
            "fax_number": "919-553-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 US 70 BUS HWY W",
            "address_2": "SUITE 700",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204844",
            "telephone_number": "919-553-5505",
            "fax_number": "919-553-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Boak, LMSW, ACSW
• Sanita Boateng, PHARMD
• Patricia S. Bock, L.C.A.S, L.C.S.W.
• Aryan Kathryn Bogle, LCSW
• Taria Bonaparte, MA
• Karl F Bowman Jr., MD
• Laura Boisvert Boyd, M.ED, LPC, NCC
• Hilary Boydston, PA-C
• Jaclyn L Boyette, OTR/L
• Andrea Bozier

• Chiropractor in Clayton, NC
• Providers in Clayton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.