Jeffrey Lamar Jackson II, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12813 Issued in FL

Practice address

13865 S Dixie Hwy # 307
Miami, FL 33176-7221

Phone

(305) 252-9090

NPI assigned

May 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Margate Chiropractic Health CenterGroup PAC ID 5597173955, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Margate Chiropractic Health Center

  • Rehabilitation Chiropractor
  • Margate, FL
  • NPI 1023611431
  Medicare reassignment Care Compare group NPD
• Hernandez Therapy LLC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1255058087
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1881259570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13865 S DIXIE HWY # 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767221",
            "telephone_number": "305-252-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13865 S DIXIE HWY # 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767221",
            "telephone_number": "305-252-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JEFFREY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "12813",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "12813",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "FL",
            "license": "12813",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Jackson, DMD
• Avis Shantrell Jackson
• Brenda Ann Jackson
• Georgiana Jackson
• James John Jackson, MS,OTR,CHT
• Jennifer Jackson, M.D.
• John Jackson Jr., M.D.
• Lance Jackson, LMHC
• Latoya Jackson
• Lewis Jackson Jr., M.D.

• Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.