JACKLEY CHIROPRACTIC INC.
NPI 1639365968
Chiropractor in Independence, MO

Q: What is Jackley Chiropractic Inc.'s NPI number?

The NPI number for Jackley Chiropractic Inc. is 1639365968. It was assigned to this organization in the NPPES registry on September 20, 2007.

Q: What is Jackley Chiropractic Inc.'s specialty?

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

Active since September 20, 2007

15807 E 23RD ST S, INDEPENDENCE, MO 64055(816) 254-3203(816) 252-0012 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jackley Chiropractic Inc. NPPES

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

JACKLEY CHIROPRACTIC INC. (NPI 1639365968) is a healthcare organization registered as a chiropractor in Independence, Missouri and active in the NPI registry since September 2007. The organization lists Chad Jackley, President, as its authorized official.

NPPES Registry Identity

NPI1639365968

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJACKLEY CHIROPRACTIC INC.

Location Address15807 E 23RD ST SIndependence, MO 64055-1908

Mailing Address15807 E 23rd St SIndependence, MO 64055-1908 · (816) 254-3203 · Fax (816) 252-0012

Phone(816) 254-3203

Fax(816) 252-0012

Organization SubpartNo

Authorized OfficialChad JackleyPresident · (816) 254-3203

Enumeration DateSeptember 20, 2007

Last NPPES UpdateJuly 10, 2013

✔ NPI 1639365968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 2004021819

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.

15807 E 23RD ST S, Independence, MO 64055

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackley Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackley Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chad Jackley, D.C.

Chiropractic

NPI 1770653420

1325 S NOLAND RD
Independence, MO 64055

(816) 252-6647

✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jackley Chiropractic Inc.'s NPI number?

The NPI number for Jackley Chiropractic Inc. is 1639365968. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Jackley Chiropractic Inc. located?

Jackley Chiropractic Inc. is located at 15807 E 23rd St S, Independence, MO 64055. The listed phone number is (816) 254-3203.

What is Jackley Chiropractic Inc.'s specialty?

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

Is Jackley Chiropractic Inc. enrolled in Medicare?

Yes. Jackley Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackley Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jackley Chiropractic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackley Chiropractic Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackley Chiropractic Inc. 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 Jackley Chiropractic Inc. was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.