Troy Wayne Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3241 Issued in OK

Practice address

3801 South Boulevard St.
Edmond, OK 73013-5473

Phone

(405) 330-6655

Fax

(405) 340-3531

NPI assigned

Jun 15, 2006

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

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drj@jccp0003.direct.chirotouch.md

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.

• Jackson Chiropractic Clinic PC

  • Chiropractor
  • Edmond, OK
  • NPI 1073662680
  Medicare reassignment NPD Authorized official
• Harmony Chiropractic PC

  • Chiropractor
  • Edmond, OK
  • NPI 1003001629
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295779841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SOUTH BOULEVARD ST.",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135473",
            "telephone_number": "405-330-6655",
            "fax_number": "405-340-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SOUTH BOULEVARD ST.",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135473",
            "telephone_number": "405-330-6655",
            "fax_number": "405-340-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TROY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kaye Jackson
• Rahjanee Jackson
• Shanda R. Jackson
• Sherena Jackson
• Tera Jackson
• Priscilla Jacky
• Jaclyn I Rowland, PLLC
• Ryan Michael Jacob
• Anne Katherine Jacobs, PH.D.
• Desiree Jacobs, LMSW

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.