Active NPI
William Joseph Jackson, DC
- Chiropractor
- Garner, NC
National Provider Identifier
1225122500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3346
- Practice address
- 260 US Highway 70 W
Garner, NC 27529-3943 - Phone
- (919) 662-0044
- Fax
- (919) 662-1650
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3346 | NC | Primary |
Addresses
Primary practice location
260 US Highway 70 W
Garner, NC 27529-3943
Mailing address
801 Oxen Circle
Raliegh, NC 27603
Phone (919) 329-7443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085V1 | Other | NC | BCBS |
| 5902377 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 Commerce Pkwy
Suite 101
Garner, NC 27529-7084
Phone (919) 662-0044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3346 | NC | MD | Health Psychologist |
Organizations & group practices 1
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.
-
- Chiropractor
- Garner, NC
- NPI 1548381742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1225122500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OXEN CIRCLE",
"city": "RALIEGH",
"state": "NC",
"postal_code": "27603",
"telephone_number": "919-329-7443",
"fax_number": "919-662-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 US HIGHWAY 70 W",
"city": "GARNER",
"state": "NC",
"postal_code": "275293943",
"telephone_number": "919-662-0044",
"fax_number": "919-662-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "085V1",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902377",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
- Jackson Evolutionary Therapeutic Solutions PLLC
- George Anthony Jackson
- Jillian White Jackson, AGNP-C
- Megan Elizabeth Jackson
- Paris Jackson
- Amber Elizabeth Jaggars, FNP-BC, NP-C
- Bonnie Elizabeth Jahns, LMSW, LCSWA,RBT, CLC
- Alleya Marie James Keesee, OTD, OTR/L
- Lorrinda Kaye Janik, MSW, LCSWA
- Mayriam Javier, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.