True Health Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011014558 Issued in MO

Legal business name

TRUE HEALTH CHIROPRACTIC, INC.

Practice address

5551 Winghaven Blvd Ste 20
O Fallon, MO 63368-3618

Phone

(636) 614-0401

Fax

(636) 265-0014

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Garrett Rodney Jackson, DCNPI 1922367515

Title

President

Phone

(636) 614-0401

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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.

• Garrett Rodney Jackson, D.C.

  • Chiropractor
  • O'Fallon, MO
  • NPI 1922367515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1790070639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 20",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683618",
            "telephone_number": "636-614-0401",
            "fax_number": "636-265-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 20",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683618",
            "telephone_number": "636-614-0401",
            "fax_number": "636-265-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE HEALTH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-614-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011014558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578896031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12386480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922367515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry M Trezek, DMD
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• Susan Truong
• Leah Elaine Tucker
• Sara B Tucker, ANP
• Jamie Lee Tueth, D.O.
• Armen L Tumanyan, D.M.D.

• Chiropractor in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.