DR. JORDAN PAYNE (NPI# 1942650783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650783 |
| Entity Type | Individual |
| Full Name | DR. JORDAN PAYNE |
| Credential | DC |
| Practice Address |
7235 Boat Club Rd Fort Worth TX 76179-4555 |
| Mailing Address |
Po Box 700688 San Antonio TX 78270-0688 |
| Practice Telephone | 8004046050 |
| Mailing Telephone | 2104777654 |
| Mailing Fax Number | 2104680682 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13367 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 33610 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS | 13367 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629587886 | Jordan Payne | Case Manager/Care Coordinator | 4629 Aicholtz Road, Cincinnati, OH 45244 | 2017-09-20 |
| 1669926226 | Jordan Payne | Dentist | 8220 Memphis Ave, Lubbock, TX 79423-2612 | 2016-08-11 |
| 1558775171 | Jordan Payne | Pediatrics | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2014-06-12 |
| Street Address |
7235 BOAT CLUB RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76179-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958530 | Central Texas Pain Center, Pllc | Durable Medical Equipment & Medical Supplies | 7235 Boat Club Rd, Fort Worth, TX 76179-4555 | 2019-08-20 |
| 1336514835 | Ctpc Fort Worth, Pllc | Anesthesiology | 7235 Boat Club Rd, Fort Worth, TX 76179-4555 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| 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 |
|---|---|---|---|---|
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 1790393783 | Heather Rodriguez | Chiropractor | 6300 Ridglea Pl Ste 128, Fort Worth, TX 76116-5704 | 2020-07-16 |
| 1386265114 | Common Sense Health Solution LLC | Chiropractor | 11751 Alta Vista Rd Ste 203, Fort Worth, TX 76244-6442 | 2020-05-04 |
| 1831724533 | Colby King | Chiropractor | 9453 N Beach St, Fort Worth, TX 76244-9059 | 2020-03-03 |
| 1174157309 | Morton Medical Management, Pllc | Chiropractor | 7909 Gardengate Ln, Fort Worth, TX 76137-1071 | 2020-02-26 |
| 1164055141 | Fort Worth Chiropractic Clinic Pllc | Chiropractor | 2920 Oak Park Cir Ste 101, Fort Worth, TX 76109-1853 | 2020-02-18 |
| 1659902708 | Jordan Alan Tittle | Chiropractor | 2901 Acme Brick Plz Ste 201, Fort Worth, TX 76109-4124 | 2020-01-28 |
| 1518504141 | Rachel Spicer | Chiropractor | 4825 Overton Ridge Blvd Ste 316, Fort Worth, TX 76132-1425 | 2019-12-02 |
| 1942850086 | Aurora Marie Averill | Chiropractor | 2317 N Tarrant Pkwy Ste 451, Fort Worth, TX 76177-2214 | 2019-09-19 |
| 1972153641 | Levi Dean Skog | Chiropractor | 10761 Founders Way, Fort Worth, TX 76177-1574 | 2019-09-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76179 |
Please comment or provide details below to improve the information on DR. JORDAN PAYNE.
| 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.