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DR. MICHAEL WAYNE JACKSON D.C. NPI 1144207556


NPI Information

NPI: 1144207556
Provider Name: DR. MICHAEL WAYNE JACKSON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
733 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 831-7575
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DR. Michael Wayne Jackson, D.C. is a chiropractor in Springfield, MO with 20 years of experience. The provider is 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. DR. Michael Wayne Jackson, D.C. NPI is 1144207556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:2004

The provider's business location address is:

733 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-229
Phone: (417) 831-7575
Fax: (417) 831-7632

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 12/28/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2004027940MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208658OTHERMISSOURIBLUE CROSS BLUE SHIELD
27483792OTHERMISSOURIAETNA
39422836OTHERMISSOURIPHCS
45687508OTHERMISSOURIFIRST HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.