Organization Active NPI

Jacobson Chiropractic PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1639200595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7161 Issued in AZ
Legal business name
JACOBSON CHIROPRACTIC PLLC
Practice address
13206 N 7TH St
Phoenix, AZ 85022-5394
Phone
(602) 298-5173
Fax
(602) 866-3454
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Andrew Jacobson, D.C.
Title
Owner
Phone
(602) 298-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7161 AZ Primary

Addresses

Primary practice location

13206 N 7TH St
Phoenix, AZ 85022-5394

Mailing address

13206 N 7TH St
Phoenix, AZ 85022-5394
Phone (602) 298-5173

National Provider Directory

National Provider Directory

Locations

1715 N 7th St
Phoenix, AZ 85006
Phone (602) 258-2580

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639200595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225394",
            "telephone_number": "602-298-5173",
            "fax_number": "602-866-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13206 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225394",
            "telephone_number": "602-298-5173",
            "fax_number": "602-866-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-298-5173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.