DR. JARED KENTON JACKSON DC
NPI 1184447005
Chiropractor in Grand Rapids, MI

Q: What is Jared Jackson's NPI number?

The NPI number for Jared Jackson is 1184447005. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Jared Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jared Jackson was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 07, 2024

1593 GALBRAITH AVE SE STE 205, GRAND RAPIDS, MI 49546(616) 949-1888 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jared Kenton Jackson Dc NPPES

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

DR. JARED KENTON JACKSON DC (NPI 1184447005) is an individual chiropractor in Grand Rapids, Michigan, licensed in Michigan (2301401582) and active in the NPI registry since November 2024. He maintains a secondary practice location in Middleville and is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1184447005

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JARED KENTON JACKSONCredential: DC

Location Address1593 GALBRAITH AVE SE STE 205Grand Rapids, MI 49546-9032

Mailing Address7385 30th St SeAda, MI 49301-8570 · (231) 640-4010

Phone(616) 949-1888

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024

Enumeration DateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1184447005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301401582

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.

1593 GALBRAITH AVE SE STE 205, Grand Rapids, MI 49546

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Secondary Practice Location 1

Location 1218 W Main StMiddleville, MI 49333-8954 · Phone (269) 795-7145

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared Kenton Jackson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688148265

PECOS Enrollment IDI20260706001013

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 Jared Jackson's NPI number?

The NPI number for Jared Jackson is 1184447005. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Jared Jackson located?

Jared Jackson practices at 1593 Galbraith Ave SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 949-1888.

What is Jared Jackson's specialty?

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

Is Jared Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jared Jackson was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.