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JORDAN CLARK DC
NPI 1104442417
Chiropractor in Brighton, MI

Active since June 23, 2020Accepts Medicare Assignment
10192 GRAND RIVER RD STE 107, BRIGHTON, MI 48116(810) 494-1900 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Clark Dc NPPES

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

JORDAN CLARK DC (NPI 1104442417) is an individual chiropractor in Brighton, Michigan, licensed in Michigan (2301010961) and active in the NPI registry since June 2020. He is a graduate of Life Chiropractic College (2019).

NPPES Registry Identity

NPI1104442417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJORDAN CLARKCredential: DC
Location Address10192 GRAND RIVER RD STE 107Brighton, MI 48116-6531
Mailing Address10192 Grand River Rd Ste 107Brighton, MI 48116-6531 · (810) 494-1900
Phone(810) 494-1900
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2019
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1104442417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301010961
Definition
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.
10192 GRAND RIVER RD STE 107, Brighton, MI 48116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Clark Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305264755
PECOS Enrollment IDI20200916002044

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
493 services33 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNNE MARIE STEWART LMT
Massage Therapist
10192 GRAND RIVER RD STE 107
BRIGHTON, MI 48116
Livingston County (810) 494-1900
DR. ADAM N RUSHFORD DC PLLC
Chiropractor
10192 GRAND RIVER RD STE 107
BRIGHTON, MI 48116
Livingston County (810) 494-1900

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 Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1104442417. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Jordan Clark located?

Jordan Clark practices at 10192 Grand River Rd Ste 107, Brighton, MI 48116. The listed phone number is (810) 494-1900.

What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jordan Clark enrolled in Medicare?

Yes. Jordan Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Clark accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jordan Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.