DR JORDAN DC GREENLIGHT CHIROPRACTIC LAKE FOREST CA PC
NPI 1063295392
Chiropractor - Pediatric Chiropractor in Lake Forest, CA

Q: What is Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

Active since August 18, 2023

23101 LAKE CENTER DR STE 110, LAKE FOREST, CA 92630(949) 586-2731 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JORDAN DC GREENLIGHT CHIROPRACTIC LAKE FOREST CA PC (NPI 1063295392), doing business as Greenlight Chiropractic & Wellness Lab, is a healthcare organization registered as a pediatric chiropractor in Lake Forest, California and active in the NPI registry since August 2023. The organization lists Jordan Ziegler, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1063295392

Entity TypeOrganization

Primary Taxonomy111NP0017X

Legal Business NameDR JORDAN DC GREENLIGHT CHIROPRACTIC LAKE FOREST CA PC

Location Address23101 LAKE CENTER DR STE 110Lake Forest, CA 92630-2882

Mailing AddressPo Box 3265Rancho Santa Fe, CA 92067-3265

Phone(949) 586-2731

Organization SubpartNo

Authorized OfficialJordan ZieglerDoctor Of Chiropractic · (719) 321-6308

Enumeration DateAugust 18, 2023

Last NPPES UpdateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1063295392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyChiropractor · Pediatric ChiropractorChiropractic Providers

Taxonomy Code111NP0017X

Definition

The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.

Also ListedChiropractor · NutritionTaxonomy 111NN1001X

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X

Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X

23101 LAKE CENTER DR STE 110, Lake Forest, CA 92630

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Other Names 1

Doing Business AsGreenlight Chiropractic & Wellness Lab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Alyssa Price, D.C.

Chiropractic

NPI 1861176414

23101 LAKE CENTER DR STE 110
Lake Forest, CA 92630

(949) 586-2731

Same address

Phillip Vournazos, D.C.

Chiropractic

NPI 1356827695

7772 WARNER AVE STE 101
Huntington Beach, CA 92647

(714) 465-2327

17 mi

Michael Dubick, D.C.

Chiropractic

NPI 1700970944

31333 TEMECULA PKWY STE 140
Temecula, CA 92592

(951) 483-2007

36 mi

Michael Lau, D.C.

Chiropractic

NPI 1043203847

21535 HAWTHORNE BLVD STE 270
Torrance, CA 90503

(424) 201-0036

39 mi

Sydney Spencer, DC

Chiropractic

NPI 1902775141

6986 EL CAMINO REAL STE F
Carlsbad, CA 92009

(760) 438-9548

45 mi

Martin Olsen, D.C.

Chiropractic

NPI 1730247990

6435 CAMINITO BLYTHEFIELD SUITE D
La Jolla, CA 92037

(858) 454-4557

✔ Accepts Medicare61 mi

Gregory Mcdonald, D.C.

Chiropractic

NPI 1922008671

36945 COOK ST # 103
Palm Desert, CA 92211

(760) 328-8212

✔ Accepts Medicare79 mi

Ronald Merriel, D.C.

Chiropractic

NPI 1760479232

3502 SCOTTS LN A-13
Philadelphia, PA 19129

(215) 844-8484

✔ Accepts Medicare2,376 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC's NPI number?

The NPI number for Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC is 1063295392. It was assigned to this organization in the NPPES registry on August 18, 2023. The provider is doing business as Greenlight Chiropractic & Wellness Lab.

Where is Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC located?

Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC is located at 23101 Lake Center Dr Ste 110, Lake Forest, CA 92630. The listed phone number is (949) 586-2731.

What is Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

Is Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC enrolled in Medicare?

Yes. Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Chiropractic, reassign their Medicare billing to Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Jordan Dc Greenlight Chiropractic Lake Forest Ca PC was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.