JASON KIRKHAM DC
NPI 1255297883
Chiropractor in Genoa City, WI

Active since December 29, 2025
112 ELIZABETH LN UNIT B, GENOA CITY, WI 53128(262) 348-6256 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Kirkham Dc NPPES

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

JASON KIRKHAM DC (NPI 1255297883) is an individual chiropractor in Genoa City, Wisconsin, licensed in Wisconsin (6252-12) and active in the NPI registry since December 2025. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1255297883
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJASON KIRKHAMCredential: DC
Location Address112 ELIZABETH LN UNIT BGenoa City, WI 53128-2120
Mailing Address19704 Dunham RdWoodstock, IL 60098-9110 · (815) 341-2802
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 28, 2025
NPI 1255297883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 6252-12
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.
112 ELIZABETH LN UNIT B, Genoa City, WI 53128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jason Kirkham Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698258218
PECOS Enrollment IDI20260312000468

Other Providers at the Same Location NPPES

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

Chiropractor
112 ELIZABETH LN UNIT B
GENOA CITY, WI 53128

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 Jason Kirkham's NPI number?

The NPI number for Jason Kirkham is 1255297883. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Jason Kirkham located?

Jason Kirkham practices at 112 Elizabeth Ln Unit B, Genoa City, WI 53128. The listed phone number is (262) 348-6256.

What is Jason Kirkham's specialty?

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

Is Jason Kirkham enrolled in Medicare?

Yes. Jason Kirkham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Kirkham was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.