Robert Allen Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13685 Issued in FL

Practice address

3194 Redeemer Way
New Port Richey, FL 34655-4245

Phone

(727) 382-4102

NPI assigned

Nov 16, 2021

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

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.

• West Chiropractic & Neuropathy Center LLC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1124518774
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1740946409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 BRIAN RD S",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852107",
            "telephone_number": "707-637-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 REDEEMER WAY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554245",
            "telephone_number": "727-382-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Faye A. Jabonite, M.D.
• Ashley T Jackson, APRN
• Charles Jackson
• Daniella Jackson, PH.D, LMHC
• Melinda Kay Jackson, ARNP
• Selena Brooke Jackson, MA
• Madelaine J Jacobs
• Patricia Jadick, OTR
• Nabila Jahan
• Liudmila Jaime Fernandez

• Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.