Jackson Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSON CHIROPRACTIC PC

Practice address

201 E US Highway 36
Pat Rady Way
Bainbridge, IN 46105-9609

Phone

(765) 522-3433

Fax

(765) 522-3352

NPI assigned

Apr 12, 2011

Last updated

Apr 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John P Jackson, DC

Title

President/Owner

Phone

(765) 522-3433

Specialties & licenses 1

Addresses

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.

• Mohammad Tavassoli, D.O

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1578687521
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1972893873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "BAINBRIDGE",
            "state": "IN",
            "postal_code": "461050344",
            "telephone_number": "765-522-3433",
            "fax_number": "765-522-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E US HIGHWAY 36",
            "address_2": "PAT RADY WAY",
            "city": "BAINBRIDGE",
            "state": "IN",
            "postal_code": "461059609",
            "telephone_number": "765-522-3433",
            "fax_number": "765-522-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "765-522-3433",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn E Fairburn, NP
• Joyce A. Heald, M.D.
• Hearing Services, Inc
• Hendricks County Hospital (Hendricks Regional Health Bainbridge Clinic)
• Jean Frances Holder, D.D.S.
• Manan Technologies Inc.
• Charles McElwee
• Travis Randall McPike, NP-C
• North Putnam Comm School Corporation
• Putnam County Hospital (North Putnam Family Healthcare)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.