Dr. Jasmine Jackson DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. JASMINE JACKSON DC INC

Practice address

830 2ND St Ste B
Santa Rosa, CA 95404-4620

Phone

(707) 544-5338

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Jasmine JacksonNPI 1952576753

Title

Owner

Phone

(408) 655-5046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jackson Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Jackson, D.C.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1952576753
  NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1265021471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 2ND ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 2ND ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JASMINE JACKSON DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-655-5046"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952576753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.