Todd Jackson Jr., DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S04265 Issued in MD

Practice address

1131 Bel Air Road
Unit 202
Bel Air, MD 21014

Phone

(410) 877-8077

NPI assigned

Aug 19, 2025

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)

Not 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.

• Msi Bel Air, LLC

  • Rehabilitation Chiropractor
  • Bel Air, MD
  • NPI 1861824963
  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1619854734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LAFAYETTE AVE",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190234107",
            "telephone_number": "610-931-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BEL AIR ROAD",
            "address_2": "UNIT 202",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-877-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TODD",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S04265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona E. Kubiczek, DDS, PC
• Ashley Jackson, LCSW-C
• Hillary Elizabeth Jackson, LGPC
• Maya Jackson, LMSW
• Michelle Cheri Jackson, OTRL
• Cloey Jacobs, AUD
• Linda Jeanne Jager, R.N.
• David Leroy Jahn, PHD
• Lauren Elizabeth James, LCSW-C
• Smauel L James

• Rehabilitation Chiropractor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.