JACKSON CLINIC OF CHIROPRACTIC, INC. (NPI# 1629556899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629556899 |
| Entity Type | Organization |
| Organization Name | JACKSON CLINIC OF CHIROPRACTIC, INC. |
| Practice Address |
715 Hill Country Dr Ste 5 Kerrville TX 78028-5965 |
| Practice Telephone | 8308969633 |
| Practice Fax Number | 8308969644 |
| Mailing Telephone | 8308969633 |
| Mailing Fax Number | 8308969644 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ROBIN MARIA JACKSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8308969633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
715 HILL COUNTRY DR STE 5 |
| City | KERRVILLE |
| State | TX |
| Zip Code | 78028-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225409139 | Rwpk LLC | Dentist | 715 Hill Country Dr Ste 5, Kerrville, TX 78028-5965 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982247201 | Js Clark Holdings LLC | In Home Supportive Care | 1001 Water St Bldg. G, Kerrville, TX 78028 | 2019-10-18 |
| 1265931232 | Nancy Ellen Morris | Nurse Practitioner | 1331 Bandera Hwy Ste. 2, Kerrville, TX 78028 | 2018-02-06 |
| 1396254181 | Ha Huynh | Occupational Therapist | 1213 Water Street, Kerrville, TX 78028 | 2017-09-25 |
| 1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
| 1710422597 | Tracy L. Flowers | Speech-Language Pathologist | 306 Westey Dr., Ste A, Kerrville, TX 78028 | 2017-01-03 |
| 1104271576 | Laurence Robert Bower IIi | Clinic/Center | 207b Sidney Baker Street S, Kerrville, TX 78028 | 2016-05-04 |
| 1760865505 | Kathryn Figer | Internal Medicine | 551 Hill Country Dr Dept Of, Kerrville, TX 78028 | 2015-06-29 |
| 1992187892 | Caroline Z Garcia | Counselor | 819 Water St Ste 130, Kerrville, TX 78028 | 2015-06-26 |
| 1124405188 | Str8 Smiles Inc | Dentist | 115 Plaza Drive, Apt 5005, Kerrville, TX 78028 | 2015-04-29 |
| 1447655782 | Jesus Ramirez | Counselor | 222 Sidney Baker Suite 435, Kerville, TX 78028 | 2014-10-29 |
| Find all providers in zip 78028 | ||||
| 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 |
|---|---|---|---|---|
| 1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
| 1841543329 | Kristopher Wayne Reeves | Chiropractor | 133 W Water St, Kerrville, TX 78028-5243 | 2012-10-20 |
| 1285857680 | Ronald Evans Jackson | Chiropractor | 310 Quinlan St, Kerrville, TX 78028-4411 | 2007-04-11 |
| 1548344765 | Charles Allen Wickware | Chiropractor | 144 Fairway Dr, Suite D, Kerrville, TX 78028-6455 | 2006-10-24 |
| 1023119286 | Gerald Thomas Uzarski | Chiropractor | 1454 Sidney Baker St, Kerrville, TX 78028-2725 | 2006-09-26 |
| 1679684179 | Henry Lewis Hubble | Chiropractor | 448 Sidney Baker St S, Suite 101, Kerrville, TX 78028-5915 | 2006-08-31 |
| 1457387524 | Brian Lyman | Chiropractor | 1016 Junction Hwy, Ste B, Kerrville, TX 78028 | 2006-06-23 |
| 1063467678 | Andrea Michelle Wilson | Chiropractor | 832 Main St, Ste 100, Kerrville, TX 78028-5352 | 2006-05-23 |
| 1013901438 | Gary Edward Elliott | Chiropractor | 448 Sidney Baker S, Suite #101, Kerrville, TX 78028-5915 | 2005-08-31 |
| 1194217000 | Kerr County Chiropractic | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2018-06-06 |
| Find all providers in KERRVILLE | ||||
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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.