DR. CARSON SAMUEL JORDAN DC NPI 1831942416

NPI Information

  • NPI: 1831942416
  • Provider Name: DR. CARSON SAMUEL JORDAN, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1725 CENTRAL AVE W
    WIGGINS, MS
    ZIP 39577
  • Phone: (601) 928-9095

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NPI Details

DR. Carson Samuel Jordan, DC is a chiropractor in Wiggins, MS with 2 years of experience. The provider is 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. DR. Carson Samuel Jordan, DC NPI is 1831942416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2024

The provider's business location address is:

1725 CENTRAL AVE W
WIGGINS, MS
ZIP 39577-434
Phone: (601) 928-9095
Fax: (601) 928-9383

The enumeration date for this NPI number is 4/11/2024 and was last updated on 4/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1394MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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