Individual provider Active NPI

Jacob Parsons, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1780144006
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61532888 Issued in WA
Practice address
3180 W Clearwater Ave Ste F
Kennewick, WA 99336-2765
Phone
(509) 410-5370
NPI assigned
Mar 22, 2019
Reactivated
Aug 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61532888 WA Primary

Addresses

Primary practice location

3180 W Clearwater Ave Ste F
Kennewick, WA 99336-2765

Mailing address

3180 W Clearwater Ave Ste F
Kennewick, WA 99336-2765
Phone (701) 715-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1047NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Dam Chiropractic, PC PastSince Sep 30, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1780144006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 W CLEARWATER AVE STE F",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362765",
            "telephone_number": "701-715-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 W CLEARWATER AVE STE F",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362765",
            "telephone_number": "509-410-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "deactivation_date": "2019-07-29",
        "reactivation_date": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61532888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.