DR. JORDAN WEAVER (NPI# 1164987020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164987020 |
| Entity Type | Individual |
| Full Name | DR. JORDAN WEAVER |
| Credential | DC |
| Practice Address |
2523 S 10th Ave Ste 102 Caldwell ID 83605-6760 |
| Mailing Address |
66 S Canyon St Nampa ID 83651-2665 |
| Practice Telephone | 2086494321 |
| Mailing Telephone | 2089495347 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-1918 | ID | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971150 | Jordan M Weaver | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-08-07 |
| 1952948994 | Jordan Tyler Weaver | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-12-10 |
| 1225594575 | Jordan Ray Weaver | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-02-12 |
| 1780121863 | Jordan K Weaver | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2017-01-26 |
| Street Address |
2523 S 10TH AVE STE 102 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1760034094 | Hunter Michael Heintzelman | Chiropractor | 1016 E Chicago St, Caldwell, ID 83605-5525 | 2019-07-16 |
| 1285199166 | Payton Jordon | Chiropractor | 1016 E Chicago St Ste 105, Caldwell, ID 83605-5532 | 2019-02-05 |
| 1174001143 | Edgardo Jose Irizarry | Chiropractor | 2416 Cleveland Blvd, Caldwell, ID 83605-4434 | 2018-08-01 |
| 1497033666 | Stanley N Sears | Chiropractor | 2309 Terrace Dr, Caldwell, ID 83605-2256 | 2011-07-21 |
| 1013212539 | Geoffrey Edward Bossio | Chiropractor | 519 Bloomfield Ave Ste L21, Caldwell, NJ 07006-5510 | 2011-01-13 |
| 1447483516 | One Life Chiropractic | Chiropractor | 317 Happy Day Blvd, Suite 170, Caldwell, ID 83607-8115 | 2009-08-24 |
| 1700020518 | Ryan Gib Hein | Chiropractor | 5216 Cleveland Blvd, Suite G, Caldwell, ID 83607-8123 | 2009-04-23 |
| 1265677587 | Cory Shane Lindstrom | Chiropractor | 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 | 2008-12-16 |
| 1053587501 | James Richard Hubert | Chiropractor | 85 Bloomfield Ave, Caldwell, NJ 07006-5311 | 2008-05-05 |
| 1780704502 | John A Witt | Chiropractor | 164 Smull Ave, Caldwell, NJ 07006-7842 | 2007-03-29 |
| Find all providers in CALDWELL | ||||
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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.