JACKSON CHIROPRACTIC (NPI# 1669728101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669728101 |
Entity Type | Organization |
Organization Name | JACKSON CHIROPRACTIC |
Practice Address |
1258 Bryan Rd O Fallon MO 63366-3771 |
Practice Telephone | 6366140401 |
Practice Fax Number | 6366144111 |
Mailing Telephone | 6366140401 |
Mailing Fax Number | 6366144111 |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-09-21 |
Authorized Official Name | DR. GARRETT RODNEY JACKSON (SOLE MEMBER) |
Authorized Official Telephone | 6366140401 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2012014933 | MO | Chiropractic Providers |
Street Address |
1258 BRYAN RD |
City | O FALLON |
State | MO |
Zip Code | 63366-3771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104009976 | May Chiropractic, PC | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2007-12-14 |
1922367515 | Garrett Rodney Jackson | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2012-05-16 |
1790070639 | True Health Chiropractic, Inc. | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2011-06-17 |
1578896031 | Brandon T. Jackson | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2009-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
Find all providers in zip 63366 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003473950 | Daniel Thomas Spitler II | Chiropractor | 1246 Bryan Rd, O Fallon, MO 63366-3771 | 2019-05-28 |
1992203491 | Brandon Michael Daniels | Chiropractor | 734 Cambridge Blvd # 100, O Fallon, IL 62269-1964 | 2018-01-30 |
1144738022 | Margaret Stupakewicz | Chiropractor | 199 Frontier Park Dr, O Fallon, MO 63366-3963 | 2018-01-13 |
1003326075 | Keim Family Chiropractic LLC | Chiropractor | 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | 2017-10-04 |
1073033452 | Bone & Joint Chiropractic Center LLC | Chiropractor | 2917 Highway K Ste F, O Fallon, MO 63368-7879 | 2017-06-26 |
1356894273 | Bradley Agan | Chiropractor | 1297 Bryan Rd, O Fallon, MO 63366-3729 | 2016-07-27 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
1164801353 | John Mischel | Chiropractor | 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1683 | 2015-05-21 |
1982012555 | Laura Mcateer Dc LLC | Chiropractor | 7287 Watsons Parish Dr, O Fallon, MO 63368-8151 | 2014-07-28 |
1518384163 | Edmistone Acupuncture & Chiropractic | Chiropractor | 1317 W Highway 50, O Fallon, IL 62269-1616 | 2014-03-20 |
Find all providers in O FALLON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.