Jackson Marten, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7294 Issued in MN

Practice address

3570 Lexington Ave N Ste 208
Shoreview, MN 55126-8058

Phone

(651) 400-7026

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millsop Chiropractic, P.a.Group PAC ID 2062582208, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millsop Chiropractic, P.a.

  • Chiropractor
  • Shoreview, MN
  • NPI 1013181429
  Medicare reassignment Care Compare group NPD
• Preferred Chiropractic Associates Inc

  • Clinic/Center
  • Shoreview, MN
  • NPI 1578873642
  NPD

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1952119489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RUSTIC PL APT 209",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171398",
            "telephone_number": "712-269-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LEXINGTON AVE N STE 208",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268058",
            "telephone_number": "651-400-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEN",
        "first_name": "JACKSON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soumontha Manikham
• Robert Mantia, MA, LPCC
• Marek Chiropractic, LLC
• Lori Lynn Marek, D.C.
• James Michael Marquardt, MD
• Mary E. Sanders
• Stephanie Frances Masek, DC
• Wendy Marion Nelms McCabe, MD
• Jason McEwen, LMFT
• Michele Marie McGuire, M.S., CCC - SLP

• Chiropractor in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.