Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC
NPI 1063295392 · Pediatric Chiropractor · Lake Forest, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC is a Pediatric Chiropractor organization in Lake Forest, CA (NPI 1063295392).
Provider details
- NPI number
- 1063295392
- Entity type
- Organization
- Primary specialty
- Pediatric ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jordan Ziegler, Doctor of Chiropractic(719) 321-6308
Specialties & taxonomies
Chiropractic Providers
- Nutrition Chiropractor111NN1001X
Chiropractic Providers
- Rehabilitation Chiropractor111NR0400X
Chiropractic Providers
- Sports Physician Chiropractor111NS0005X
Chiropractic Providers
- Orthopedic Chiropractor111NX0800X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Greenlight Chiropractic & Wellness Lab
Registry dates
- Enumerated
- 2023-08-18
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's NPI number?
- Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's National Provider Identifier (NPI) is 1063295392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC?
- Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC is classified in the NPPES registry as Pediatric Chiropractor (Chiropractic Providers).
- Where is Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC located?
- Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's practice location on file with NPPES is 23101 Lake Center Dr Ste 110, Lake Forest, CA 92630-2882.
- What is Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's phone number?
- The practice phone number listed in the NPPES registry for Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC is (949) 586-2731.
- Does Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC accept Medicare?
- Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC?
- The authorized official listed on Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's NPPES record is Jordan Ziegler, Doctor of Chiropractic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's NPI active?
- Yes — Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC's NPI (1063295392) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.