JORDAN CHIROPRACTIC CENTER (NPI# 1891885729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891885729 |
| Entity Type | Organization |
| Organization Name | JORDAN CHIROPRACTIC CENTER |
| Practice Address |
4024 Maccorkle Ave Sw South Charleston WV 25309-1510 |
| Practice Telephone | 3047687671 |
| Mailing Telephone | 3047687671 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | DR. WILLIAM JORDAN (CLINIC DIRECTOR) |
| Authorized Official Telephone | 3047687671 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 178 | WV | Chiropractic Providers |
| Street Address |
4024 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265682108 | Cassandra M Latimer Clevenger | Specialist/Technologist | 4024 Maccorkle Ave Sw, South Charleston, WV 25309-1510 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1467563361 | Dr Morgans Complete Health Center | Chiropractor | 4834 Maccorkle Avenue Sw, South Charleston, WV 25309 | 2006-08-31 |
| 1124040944 | Brett A Morgan | Chiropractor | 135 7th Ave, South Charleston, WV 25303-1417 | 2006-07-24 |
| 1588157697 | Morgan Wolff | Chiropractor | 135 7th Ave, South Charleston, WV 25303-1417 | 2018-06-13 |
| 1134662133 | Todd Anderson | Chiropractor | 135 7th Ave, South Charleston, WV 25303 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070961 | Alix Rae Lilly | Chiropractor | 245 Thomas Ave, Davis, WV 26260 | 2020-07-10 |
| 1689232498 | Active Life Pllc | Chiropractor | 3474 Jefferson St N Ste 101, Lewisburg, WV 24901-5728 | 2019-06-05 |
| 1326578675 | Chiropractic Care Center Pllc | Chiropractor | 200 Route 98 W St Ste 105, Nutter Fort, WV 26301-4386 | 2017-06-19 |
| 1497283063 | Margarita Blanca Ramos | Chiropractor | 810 N Jefferson St Ste 101, Lewisburg, WV 24901-9543 | 2017-05-26 |
| 1235527888 | Wardlow Chiropractic Enterprise, Pllc | Chiropractor | 8747 Seneca Trl S, Ronceverte, WV 24970-8387 | 2015-01-06 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1093143588 | Jones & Morris Chiropractic Pllc | Chiropractor | 907 6th Ave, Saint Albans, WV 25177-2920 | 2013-10-22 |
| 1174956171 | American Family Chiropractic Physicians Inc | Chiropractor | 7355 U.S. Rt 152, Wayne, WV 25570 | 2013-08-13 |
| 1275970691 | Jason Nicholas Belcher | Chiropractor | 7355 Us Rt. 152, Wayne, WV 25570 | 2013-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.