DR. KENDELL DESMOND JACK D.C
NPI 1063386829
Chiropractor in Sebastopol, CA

Active since October 03, 2025
7765 HEALDSBURG AVE, SEBASTOPOL, CA 95472(707) 823-3113 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kendell Desmond Jack D.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENDELL DESMOND JACK D.C (NPI 1063386829) is an individual chiropractor in Sebastopol, California, licensed in California (37361) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1063386829
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENDELL DESMOND JACKCredential: D.C
Location Address7765 HEALDSBURG AVESebastopol, CA 95472-3309
Mailing Address7765 Healdsburg AveSebastopol, CA 95472-3309 · (707) 823-3113
Sole ProprietorNo
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 2, 2025
NPI 1063386829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 37361
Definition

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.

7765 HEALDSBURG AVE, Sebastopol, CA 95472

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472
Acupuncturist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendell Jack's NPI number?

The NPI number for Kendell Jack is 1063386829. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Kendell Jack located?

Kendell Jack practices at 7765 Healdsburg Ave, Sebastopol, CA 95472. The listed phone number is (707) 823-3113.

What is Kendell Jack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kendell Jack was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.