Blake Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0000002850 Issued in TN

Practice address

8132 Cordova Rd
Suite 102
Cordova, TN 38016-6005

Phone

(901) 751-0939

Fax

(901) 751-0332

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spinal Health Care Associates, P.C.

  • Rehabilitation Chiropractor
  • Cordova, TN
  • NPI 1316137243
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1467837591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-751-0939",
            "fax_number": "901-751-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-751-0939",
            "fax_number": "901-751-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BLAKE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth L. Isaacman, D.D.S.
• Phillip Edward Isaacman, D.D.S.
• Charlotte Isabel
• Sharon Demetris Isabel
• Jack C Shannon DDS PC
• Camela Jackson
• Jeanice Jackson
• Claire Elizabeth Jaggers, LCSW
• Amber Nicole Jamison
• Jason S Collier DDS PLLC

• Chiropractor in Cordova, TN
• Providers in Cordova, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.