Individual provider Active NPI

Alana Jackson, CHIROPRACTER

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1154345007
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7139 Issued in AZ
Practice address
1708 El Cazador
Bullhead City, AZ 86442-7955
Phone
(928) 753-9225
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7139 AZ Primary

Addresses

Primary practice location

1708 El Cazador
Bullhead City, AZ 86442-7955

Mailing address

PO Box 22698
Bullhead City, AZ 86439-2698
Phone (928) 753-9225

Other identifiers 3

IdentifierTypeStateIssuer
P00100146OtherAZRAILROAD MEDICARE
AZ0155410OtherAZBLUE CROSSS BLUE SHIELD
786080OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7139AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Enterprises LLC Chiropractor PastSince May 1, 2024 Accepting new patients
Philip C Barnard DC PLLC Chiropractor PastSince Jul 10, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1154345007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22698",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864392698",
            "telephone_number": "928-753-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 EL CAZADOR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427955",
            "telephone_number": "928-753-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALANA",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100146",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSS BLUE SHIELD",
            "identifier": "AZ0155410",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "786080",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.