DR. ANTWAN L JORDAN (NPI# 1104976935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104976935 |
Entity Type | Individual |
Full Name | DR. ANTWAN L JORDAN |
Credential | D.C. |
Practice Address |
838 Old George Washington Hwy N Suite E Chesapeake VA 23323-2209 |
Practice Telephone | 7574855666 |
Practice Fax Number | 7574858666 |
Mailing Telephone | 7574855666 |
Mailing Fax Number | 7574858666 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104556244 | VA | Chiropractic Providers |
Street Address |
838 OLD GEORGE WASHINGTON HWY N SUITE E |
City | CHESAPEAKE |
State | VA |
Zip Code | 23323-2209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154342160 | Imed, Inc. | Clinic/Center | 838 Old George Washington Hwy N, Suite A, Chesapeake, VA 23323-2209 | 2006-07-22 |
1720329105 | On-site Rx, Inc | Pharmacy | 838 Old George Washington Hwy N, Ste. N, Chesapeake, VA 23323-2209 | 2013-03-08 |
1538482971 | Dr. Veronica B. Sullivan, Od, Pllc | Optometrist | 838 Old George Washington Hwy N, #r, Chesapeake, VA 23323-2209 | 2010-03-11 |
1043466089 | Kenneth B. Boyd Sr. Dds, Ltd. | Dentist | 838 Old George Washington Hwy N, C, Chesapeake, VA 23323-2209 | 2008-08-11 |
1366632705 | Kenneth Bernard Boyd Sr. | Dentist | 838 Old George Washington Hwy N, C, Chesapeake, VA 23323-2209 | 2007-08-01 |
1124238050 | Omg, LLC | Optometrist | 838 Old George Washington Hwy N, #q, Chesapeake, VA 23323-2209 | 2007-05-22 |
1174672497 | Chirocare Chiropractic Pllc | Chiropractor | 838 Old George Washington Hwy N, Suite E, Chesapeake, VA 23323-2209 | 2007-01-09 |
1891867867 | Clear View Vision Family Eyecare, Plc | Optometrist | 838 Old George Washington Hwy N, Suites P-r, Chesapeake, VA 23323-2209 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417413444 | Tiwana Lynn Jordan | Driver | 2139 Chesterfield Loop, Chesapeake, VA 23323 | 2019-02-14 |
1578040051 | Utopia C&c LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1212 Excalibur Ct, Chesapeake, VA 23323 | 2018-07-26 |
1851755003 | Behavior Analytic Associates | Behavioral Analyst | 522 Atamasco St, Chesapeake, VA 23323 | 2016-04-13 |
1134297344 | D Machelle Kerr | Chiropractor | 164 S George Washington Hwy, Chesapeake, VA 23323 | 2006-12-04 |
1053403816 | Cathy L. Rearden | Dentist | 2346 Cedar Road, Chesapeake, VA 23323 | 2006-09-29 |
1306857909 | Jose Dabu Leoncio | Family Medicine | 1061 Ne Washington Hwy, Chesapeake, VA 23323 | 2006-08-10 |
1952370702 | George Washington Health & Rehab of Chesapeake, Inc | Skilled Nursing Facility | 1017 George Washington Hwy., Chesapeake, VA 23323 | 2006-03-15 |
1528040474 | Dr George E Berryman Dds | Dentist | 838 Old George Washington Hwy, Suite C, Chesapeake, VA 23323 | 2005-11-16 |
1891216933 | Black Top Town Car Service LLC | Non-emergency Medical Transport (VAN) | 410 Millhouse Ct, Chesapeake, VA 23323-0882 | 2017-06-29 |
1609048651 | Hope Offord-powell | Speech-Language Pathologist | 404 Undershot Ct, Chesapeake, VA 23323-0883 | 2008-03-31 |
Find all providers in zip 23323 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932734084 | Dr. Mindal Donner, Pllc | Chiropractor | 392 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-5364 | 2020-03-10 |
1750787222 | Thalia Chiropractic and Wellness Inc | Chiropractor | 611 Station Square Ct, Chesapeake, VA 23320-0705 | 2014-11-11 |
1598192379 | Chesapeake Natural Pain Management and Chiropractic | Chiropractor | 237 Carmichael Way Ste 227, Chesapeake, VA 23322-2184 | 2013-10-10 |
1922374131 | Orchard Square Chiropractic Inc | Chiropractor | 1528 Volvo Pkwy, Ste C, Chesapeake, VA 23320-1514 | 2012-04-02 |
1710296959 | Sheena Marie Cox | Chiropractor | 801 Poindexter St, Suite 219, Chesapeake, VA 23324-2358 | 2010-10-06 |
1942511266 | Essential Care Family Chiropractic | Chiropractor | 1036 Volvo Pkwy, Suite 6, Chesapeake, VA 23320-8600 | 2010-07-01 |
1154591147 | New Health LLC | Chiropractor | 1210 Progressive Dr, Suite 100, Chesapeake, VA 23320-2849 | 2008-03-05 |
1346429669 | Eric Gregory Bryant | Chiropractor | 4219 Indian River Rd Ste A, Chesapeake, VA 23325-3041 | 2007-11-02 |
1023209590 | Robert E. Wilson | Chiropractor | 164 George Washington Hwy S, Chesapeake, VA 23323-1701 | 2007-08-08 |
1851515308 | Christopher Lawrence Moss | Chiropractor | 1129 Battlefield Blvd N, Chesapeake, VA 23320-4735 | 2007-04-13 |
Find all providers in CHESAPEAKE |
City | CHESAPEAKE |
Zip Code | 23323 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.