NPIMap

Organization Active NPI

Jackson Clinic of Chiropractic PLLC

  • Chiropractor
  • Thomasville, NC
National Provider Identifier
1457430795
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
738 Issued in NC
Legal business name
JACKSON CLINIC OF CHIROPRACTIC PLLC
Practice address
630 National Hwy
Thomasville, NC 27360-2601
Phone
(336) 475-8157
Fax
(336) 475-8160
NPI assigned
Nov 6, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Dr. Rick Harris Jackson, DCNPI 1437160124
Title
Doctor of Chiropractic
Phone
(336) 475-8157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 738 NC Primary

Addresses

Primary practice location

630 National Hwy
Thomasville, NC 27360-2601

Mailing address

630 National Hwy
Thomasville, NC 27360-2601
Phone (336) 475-8157

Other identifiers 2

IdentifierTypeStateIssuer
08520OtherNCBCBS PROVIDER #
1437160124OtherNCNPI TYPE 1 #

National Provider Directory

National Provider Directory

Locations

630 National Hwy
Thomasville, NC 27360
Phone (336) 475-8157

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1457430795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 NATIONAL HWY",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602601",
            "telephone_number": "336-475-8157",
            "fax_number": "336-475-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 NATIONAL HWY",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602601",
            "telephone_number": "336-475-8157",
            "fax_number": "336-475-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CLINIC OF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "336-475-8157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "08520",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 #",
            "identifier": "1437160124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.