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MR. JACKSON CLAY SHUBIN D.C.
NPI 1114745668
Chiropractor in Idaho Falls, ID

Active since October 02, 2024
645 S. WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 552-9886(208) 718-9847 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jackson Clay Shubin D.c. NPPES

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

MR. JACKSON CLAY SHUBIN D.C. (NPI 1114745668) is an individual chiropractor in Idaho Falls, Idaho, licensed in Idaho (CHIA-2387) and active in the NPI registry since October 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1114745668
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. JACKSON CLAY SHUBINCredential: D.C.
Location Address645 S. WOODRUFF AVEIdaho Falls, ID 83401
Mailing Address645 S. Woodruff AveIdaho Falls, ID 83401 · (208) 552-9886 · Fax (208) 718-9847
Phone(208) 552-9886
Fax(208) 718-9847
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2024
✔ NPI 1114745668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-2387
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.
645 S. WOODRUFF AVE, Idaho Falls, ID 83401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jackson Clay Shubin D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395233530
PECOS Enrollment IDI20251021001705

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 Jackson Shubin's NPI number?

The NPI number for Jackson Shubin is 1114745668. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Jackson Shubin located?

Jackson Shubin practices at 645 S. Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 552-9886.

What is Jackson Shubin's specialty?

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

Is Jackson Shubin enrolled in Medicare?

Yes. Jackson Shubin is registered in the Medicare PECOS enrollment system.

What insurance does Jackson Shubin accept?

Health plans from University of Utah Health Plans list Jackson Shubin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Shubin was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.