Brian Matthew Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002510A Issued in IN

Practice address

1620 Hawthorne Dr
Ste 400
Plainfield, IN 46168-2814

Phone

(765) 894-0500

Fax

(317) 454-1327

NPI assigned

May 6, 2010

Last updated

Sep 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Corey, DC

  • Chiropractor
  • Plainfield, IN
  • NPI 1356208557
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kauffman Chiropractic

  • Chiropractor
  • Crown Point, IN
  • NPI 1114149366
  NPD (past)
• Kauffman Chiropractic

  • Chiropractor
  • Merrillville, IN
  • NPI 1538381793
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1891013405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HAWTHORNE DR",
            "address_2": "STE 400",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682814",
            "telephone_number": "765-894-0500",
            "fax_number": "317-454-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HAWTHORNE DR",
            "address_2": "STE 400",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682814",
            "telephone_number": "765-894-0500",
            "fax_number": "317-454-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002510A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200990510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Behavioral Solutions, LLC (Integrity Learning Center)
• Integrity Speech LLC
• Isd Plainfield LLC (Plainfield Renal Center)
• Emily Issette
• Anna L Ivy
• Danielle Caitlin Jackson
• Hannah Elizabeth James, NP
• Penny H James, CCC-SLP
• Laura Jay-Ballinger, LMHC
• Deborah L Jeffries, RPH

• Chiropractor in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.