JORDAN CLIFTON HINES – Chiropractor, NPI 1083221048

JORDAN CLIFTON HINES is a healthcare provider. based in Santa maria, California. specializing in CHIROPRACTIC. They hold a License No. 34932 (CA). The NPI Number for JORDAN CLIFTON HINES is 1083221048

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
JORDAN CLIFTON HINES
NPI
1083221048
Phone
(805) 922-1721
Address
1415 E MAIN ST
Enumeration Date
24 September 2020
Last Update Date
24 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059221721
Graduation Year
2020 (6 years ago)
PAC ID
6002235355
Group Practice PAC ID
5092094748
Professional Enrollment ID
I20201006001267
Address ID
CA934544801SA1415XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

Provider Addresses for JORDAN CLIFTON HINES

  • 1415 E MAIN ST

    SANTA MARIA, CA 934544801

    Phone: (805) 922-1721

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201006001267IChiropracticCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93454)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092094748View full group profile
NameSpecialtyState
-CA
C H I R O P R A C T I CCA
-CA
C H I R O P R A C T I CCA

Reviews

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Frequently asked questions

What unique ID ties claims to JORDAN CLIFTON HINES?
NPI 1083221048 is assigned to JORDAN CLIFTON HINES under the national enumeration system.
Is JORDAN CLIFTON HINES's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JORDAN CLIFTON HINES?
The page reflects Chiropractor for JORDAN CLIFTON HINES. Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN CLIFTON HINES?
The snapshot lists Santa Maria, California for JORDAN CLIFTON HINES; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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