Jasmine Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30856 Issued in CA

Practice address

830 2ND St Ste B
Santa Rosa, CA 95404-4620

Phone

(707) 544-5338

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2007

Medicare assignment

May accept Medicare assignment

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.

• Dr. Jasmine Jackson DC Inc

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1265021471
  NPD Authorized official
• Pisenti Chiropractic, Inc

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1942483755
  NPD (past)
• Ridgway Chiropractic Inc

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1699136408
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1952576753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 2ND ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 2ND ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 N Dutton Ave",
            "address_2": "Suite d",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954014682",
            "country_code": "US",
            "telephone_number": "707-544-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30856",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humaira Jabeen
• Anne Elizabeth Jackson, PH.D.
• Colleen C Jackson
• Erin Dickenson Jackson, LMFT
• Gabrielle Jackson
• Jenna Jackson
• Jerilyn De Von Jackson, M.D.
• Jon Gustaf Jackson, M.D.
• Michelle Lorraine Jackson, ASW
• Joshua Jacober, MD

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.