Jackson Louis Snell

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1536 Issued in SD

Practice address

505 Main Ave
Lake Norden, SD 57248-2141

Phone

(605) 785-3900

Fax

(605) 785-3908

NPI assigned

Apr 29, 2026

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 SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2026

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Lake Norden Family Chiropractic Center PA

  • Chiropractor
  • Lake Norden, SD
  • NPI 1700062601
  Medicare reassignment NPD

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1609713791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAIN AVE",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572482141",
            "telephone_number": "605-785-3900",
            "fax_number": "605-785-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAIN AVE",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572482141",
            "telephone_number": "605-785-3900",
            "fax_number": "605-785-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Main St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "SD",
            "postal_code": "572122084",
            "country_code": "US",
            "telephone_number": "605-983-5131",
            "fax_number": "605-983-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELL",
        "first_name": "JACKSON",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Norden Ambulance District
• Lake Norden Care and Rehabilitation Center LLC (Lake Norden Care and Rehabilitation Center)
• Lake Norden Family Chiropractic Center PA
• Lake Norden SD Skilled Nursing Facility LLC (Avantara Lake Norden)
• Sanford Medical Center (Sanford Clinic Lake Norden)
• Woodleaf LLC

• Chiropractor in Lake Norden, SD
• Providers in Lake Norden, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.