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DR. JORDAN WILLIAM WILDE D.C.
NPI 1922370543
Chiropractor in Gresham, OR

Active since January 27, 2012Accepts Medicare Assignment
191 SE STARK STREET, GRESHAM, OR 97233(503) 328-9300 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jordan William Wilde D.c. NPPES

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

DR. JORDAN WILLIAM WILDE D.C. (NPI 1922370543) is an individual chiropractor in Gresham, Oregon, licensed in Oregon (5033) and active in the NPI registry since January 2012. He is a graduate of Western States College Of Chiropractic (2011).

NPPES Registry Identity

NPI1922370543
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JORDAN WILLIAM WILDECredential: D.C.
Location Address191 SE STARK STREETGresham, OR 97233-8386
Mailing Address15777 Se Ruby DrMilwaukie, OR 97267-3703
Phone(503) 328-9300
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 2011
Enumeration DateJanuary 27, 2012
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1922370543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5033
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.
191 SE STARK STREET, Gresham, OR 97233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Dr. Jordan William Wilde D.c. 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 ID3779994983
PECOS Enrollment IDI20201119000931

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 Wilde's NPI number?

The NPI number for Jordan Wilde is 1922370543. It was assigned to this individual provider in the NPPES registry on January 27, 2012.

Where is Jordan Wilde located?

Jordan Wilde practices at 191 SE Stark Street, Gresham, OR 97233. The listed phone number is (503) 328-9300.

What is Jordan Wilde's specialty?

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

Is Jordan Wilde enrolled in Medicare?

Yes. Jordan Wilde 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 Wilde accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jordan Wilde 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 Wilde was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.