Jared Kenton Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401582 Issued in MI

Practice address

1593 Galbraith Ave SE Ste 205
Grand Rapids, MI 49546-9032

Phone

(616) 949-1888

NPI assigned

Nov 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

May accept Medicare assignment

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.

• Tilton Chiropractic PC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1053626499
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1184447005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 30TH ST SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018570",
            "telephone_number": "231-640-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 GALBRAITH AVE SE STE 205",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469032",
            "telephone_number": "616-949-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W Main St",
            "address_purpose": "LOCATION",
            "city": "Middleville",
            "state": "MI",
            "postal_code": "493338954",
            "country_code": "US",
            "telephone_number": "269-795-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JARED",
        "middle_name": "KENTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Jackson, PMHNP
• Hayley Jackson, OTD
• Ja'Daisha Jackson
• Jacoyia Michelle Jackson
• Jakia Michelle Jackson
• Javonte Brieon Jackson, RBT
• Jeffrey Wayne Jackson, MD
• Kimberly Ann Jackson, LMSW
• Lauren Jackson, PA-C
• Lauren Jackson, AU.D.

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.