Individual provider Active NPI

Jason Kirkham, DC

  • Chiropractor
  • Genoa City, WI
National Provider Identifier
1255297883
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6252-12 Issued in WI
Practice address
112 Elizabeth LN Unit B
Genoa City, WI 53128-2120
Phone
(262) 348-6256
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6252-12 WI Primary

Addresses

Primary practice location

112 Elizabeth LN Unit B
Genoa City, WI 53128-2120

Mailing address

19704 Dunham Rd
Woodstock, IL 60098-9110
Phone (815) 341-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000468 WI Practitioner - Chiropractic 5698258218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19704 Dunham Rd
Woodstock, IL 60098-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6252-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Chiropractic & More LLC Chiropractor CurrentSince Feb 15, 2026 Accepting new patients

Locations

112 Elizabeth Ln
Unit B
Genoa City, WI 53128
Phone (262) 348-6256

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1255297883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19704 DUNHAM RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600989110",
            "telephone_number": "815-341-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELIZABETH LN UNIT B",
            "city": "GENOA CITY",
            "state": "WI",
            "postal_code": "531282120",
            "telephone_number": "262-348-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6252-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genoa City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.