David Christopher Jackson, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

4242 Issued in CO

Practice address

484 Turner Dr
Building E, Suite 103
Durango, CO 81303-7992

Phone

(970) 385-8556

Fax

(970) 385-8604

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Integrated Physical Therapy Inc

  • Physical Therapist
  • Durango, CO
  • NPI 1548206691
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912079641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5339",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016815",
            "telephone_number": "970-385-8556",
            "fax_number": "970-385-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TURNER DR",
            "address_2": "BUILDING E, SUITE 103",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037992",
            "telephone_number": "970-385-8556",
            "fax_number": "970-385-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "4242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Ryan Mickelson DDS, Inc.
• Lorielle M Jack
• Robin Oma Jackman, O.D.
• Alison W Jackson, M.D.
• Danette Jackson, RN
• James Paul Jackson, O.D.
• Tara M Jackson, MA
• Velvet Jackson
• Brooke Taylor Jacobs, RBT
• Aimee Elizabeth Jacoby, P.A

• Neurology Chiropractor in Durango, CO
• Providers in Durango, CO by specialty
• Neurology Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.