Robert Louis Jackson Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009870 Issued in PA

Practice address

10850 Susquehanna TRL S
Glen Rock, PA 17327-8217

Phone

(717) 227-2227

NPI assigned

Dec 12, 2007

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands for Health Family Chiropractic LLCGroup PAC ID 4284852427, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hands for Health Family Chiropractic LLC

  • Chiropractor
  • Harrisburg, PA
  • NPI 1891119384
  Medicare reassignment Care Compare group NPD Authorized official
• Barclay Family Chiropractic

  • Chiropractor
  • Glen Rock, PA
  • NPI 1992988174
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1346423456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OAK RD",
            "city": "YORK HAVEN",
            "state": "PA",
            "postal_code": "173709775",
            "telephone_number": "717-443-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 SUSQUEHANNA TRL S",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278217",
            "telephone_number": "717-227-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin F Dyer, DDS
• Glen Rock Emergency Medical Services Inc
• Glen Rock Home Care LLC
• Kallie Lynn Heiges, LAT, ATC
• A. Douglas Hunger III, DDS
• Glen Eric Johnson, ATC
• Jonelle Lynn Lund, RN BSN IBCLC
• Maggie Smith Pmhnp PLLC
• Giullia Matteo, TRADITIONAL MIDWIFE
• Mindful Connections Professional Counseling Services LLC

• Chiropractor in Glen Rock, PA
• Providers in Glen Rock, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.