Ashley Jordan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010237 Issued in MI

Practice address

8401 Falconview Pkwy
Freeland, MI 48623-8546

Phone

(989) 545-0929

Fax

(989) 341-1072

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 VA, MI2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Effect Chiropractic PLLCGroup PAC ID 0547593394, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Effect Chiropractic, PLLC

  • Chiropractor
  • Bay City, MI
  • NPI 1437714755
  Medicare reassignment Care Compare group NPD Authorized official
• Gateway Chiropractic Incorporated

  • Chiropractor
  • Gainesville, VA
  • NPI 1912072778
  Medicare reassignment NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1992251938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 FALCONVIEW PKWY",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238546",
            "telephone_number": "989-545-0929",
            "fax_number": "989-341-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 FALCONVIEW PKWY",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238546",
            "telephone_number": "989-545-0929",
            "fax_number": "989-341-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ASHLEY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy A Ivan, PT
• J.Robert Vankirk Anesthesia Services, Inc.
• Samantha Marie Jersey, BCBA, LBA
• Emily Brianne Johnson, M.ED,BCBA, LBA
• Kristin Marie Johnson, P.A.
• Dorren Jueckstock, LMT
• Amanda Keller, LMSW
• Jana Carolyn Keller, DPT
• Taylor Rose Kelly
• Deeanna Emmalynn Kenny, PA-C

• Chiropractor in Freeland, MI
• Providers in Freeland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.