Active NPI
Corbin Jackson
- Chiropractor
- Henderson, NV
National Provider Identifier
1346114089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B02067
- Practice address
- 1000 N Green Valley Pkwy Ste 230
Henderson, NV 89074-6171 - Phone
- (702) 843-0682
- NPI assigned
- Oct 4, 2025
- Last updated
- Oct 4, 2025
- 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 | B02067 | NV | Primary |
Addresses
Primary practice location
1000 N Green Valley Pkwy Ste 230
Henderson, NV 89074-6171
Mailing address
3610 Sunridge Heights Way Unit 1213
Henderson, NV 89052-4680
Phone (408) 410-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B02067 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1346114089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 SUNRIDGE HEIGHTS WAY UNIT 1213",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524680",
"telephone_number": "408-410-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N GREEN VALLEY PKWY STE 230",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746171",
"telephone_number": "702-843-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CORBIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-04",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B02067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.