Jackson Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5435 Issued in KY

Legal business name

JACKSON CHIROPRACTIC, PLLC

Practice address

1043 Brownsville Rd
Morgantown, KY 42261-7011

Phone

(270) 999-5708

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Joseph Ryan Jackson, D.C.NPI 1538560123

Title

Owner

Phone

(270) 999-5708

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Ryan Jackson, D.C.

  • Chiropractor
  • Morgantown, KY
  • NPI 1538560123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1487055000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 BROWNSVILLE RD",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617011",
            "telephone_number": "270-999-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 BROWNSVILLE RD",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617011",
            "telephone_number": "270-999-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-999-5708",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HQM of Morgantown, LLC
• Jerrica Hubbard
• Cheryl Hudson, ADULT CASE MANAGER
• Shira Beth Hughes, APRN
• J. Todd Douglas, MD, PSC
• Joseph Ryan Jackson, D.C.
• John Mark Jennings, LCSW, BCD
• Jessica Danielle Johnson, APRN
• Nolan Johnson
• Kentucky Christian Lab Services LLC

• Chiropractor in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.