Jackson Clinic of Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSON CLINIC OF CHIROPRACTIC, INC.

Practice address

715 Hill Country Dr Ste 5
Kerrville, TX 78028-5965

Phone

(830) 896-9633

Fax

(830) 896-9644

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Robin Maria Jackson

Title

Office Manager

Phone

(830) 896-9633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Ronald Evans Jackson, D.C.

  • Chiropractor
  • Kerrville, TX
  • NPI 1285857680
  Medicare reassignment

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1629556899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILL COUNTRY DR STE 5",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285965",
            "telephone_number": "830-896-9633",
            "fax_number": "830-896-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL COUNTRY DR STE 5",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285965",
            "telephone_number": "830-896-9633",
            "fax_number": "830-896-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CLINIC OF CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-896-9633"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovacare Texas Physicians Group, PLLC
• Innovacare Texas Urgent Care PLLC
• Linda M. Irion, R.D., L.D.
• Bryan Lee Ishmael, MSN, APRN, FNP-C
• J M Barnett MD PA
• Camilla Vawn Jackson, LMFT, LPC
• Cynthia Lynn Jackson, PT
• Devin Nicole Jackson
• Ronald Evans Jackson, D.C.
• Jennifer A Jaeger, LPC

• Chiropractor in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.