Individual provider Active NPI

Jack C. Walker, DC, PA

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1265009534
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13499 Issued in FL
Practice address
16244 S Military TRL Ste 460
Delray Beach, FL 33484-6532
Phone
(561) 461-7240
NPI assigned
Jun 7, 2021
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13499 FL
Chiropractor 111N00000X CH13499 FL Primary

Addresses

Primary practice location

16244 S Military TRL Ste 460
Delray Beach, FL 33484-6532

Mailing address

16244 S Military TRL Ste 460
Delray Beach, FL 33484-6532
Phone (561) 461-7240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215002065 FL Practitioner - Chiropractic 8820467798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16244 S Military TRL
Suite 460
Delray Beach, FL 33484-6532
Phone (561) 461-7240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13499FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SFL Chiropractic PA Chiropractor CurrentSince May 1, 2021 Accepting new patients

Locations

16244 S Military Trl
Ste 460
Delray Beach, FL 33484
Phone (561) 498-5300

4600 Linton Blvd
Ste 210
Delray Beach, FL 33445
Phone (561) 495-4357

4600 Linton Blvd
Ste 350
Delray Beach, FL 33445
Phone (561) 638-5156

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1265009534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 460",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846532",
            "telephone_number": "561-461-7240",
            "fax_number": "561-461-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 460",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846532",
            "telephone_number": "561-461-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JACK",
        "middle_name": "C.",
        "credential": "DC, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13499",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.