Donald V.Jackson, DC,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4460 Issued in TX

Legal business name

DONALD V.JACKSON, DC,PC

Practice address

1408 W Koenig LN
Austin, TX 78756-1426

Phone

(512) 451-4006

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Donald Vance Jackson, D.C.

Title

Dr

Phone

(512) 451-4006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1366647588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561426",
            "telephone_number": "512-451-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561426",
            "telephone_number": "512-451-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD V.JACKSON, DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "512-451-4006",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 0051QP",
            "identifier": "00Y349",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Donahoe, M.D.
• Caden Christopher Donahue
• Crysti Donahue, APRN-CNM
• Shannon Williams Donahue, MA, CCC-SLP
• Donald P. Ward, M.D.,P.a.
• Wesley Julian Donald
• Elysha Donaldson, PHARM D
• Jeff Donaldson, LMT
• Lyrica Donaldson
• Samuel Andrew Donaldson, PH.D.

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.