Kevin Joseph Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004154L Issued in PA

Practice address

2816 E Market St
York, PA 17402-2413

Phone

(717) 757-5731

Fax

(717) 840-0437

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sigafoose and Jackson Chiropractic Inc.

  • Chiropractor
  • York, PA
  • NPI 1558308924
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1073586616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022413",
            "telephone_number": "717-757-5731",
            "fax_number": "717-840-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022413",
            "telephone_number": "717-757-5731",
            "fax_number": "717-840-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 6129",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004154L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "689352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Jackson
• Cassandra Mary Jackson, LSW
• Cortney Jackson, BCBA
• Douglas Scott Jackson, PHARM.D,
• Jay Ruswin Jackson, MD
• Kristen Jackson
• Rachael Ellen Jackson
• Sarah Jackson, MA, LPC
• Tiffany A Jackson, CNM
• Zena Auset Zechariah Diane Jackson, CADC CCAR, CRPA

• Chiropractor in York, PA
• Providers in York, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.