1. Home
  2. Directory
  3. Missouri
  4. O Fallon
  5. Chiropractor
  6. NPI Profile

JACKSON CHIROPRACTIC
NPI 1669728101
Chiropractor in O Fallon, MO

Active since August 02, 2012
1258 BRYAN RD, O FALLON, MO 63366(636) 614-0401(636) 614-4111 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Chiropractic NPPES

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

JACKSON CHIROPRACTIC (NPI 1669728101) is a healthcare organization registered as a chiropractor in O Fallon, Missouri and active in the NPI registry since August 2012. The organization lists Garrett Rodney Jackson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1669728101
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJACKSON CHIROPRACTIC
Location Address1258 BRYAN RDO Fallon, MO 63366-3771
Mailing Address1258 Bryan RdO Fallon, MO 63366-3771 · (636) 614-0401 · Fax (636) 614-4111
Phone(636) 614-0401
Fax(636) 614-4111
Organization SubpartNo
Authorized OfficialGarrett Rodney JacksonSole Member · (636) 614-0401
Enumeration DateAugust 2, 2012
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1669728101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2012014933
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.
1258 BRYAN RD, O Fallon, MO 63366
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 4

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

MAY CHIROPRACTIC, PC
Chiropractor
1258 BRYAN RD
O FALLON, MO 63366
St. Charles County (636) 978-9067
SAM CHRISTOFERSON
Hearing Instrument Specialist
1258 BRYAN RD
O FALLON, MO 63366
St. Charles County (636) 978-8088
MENM, LLC
Hearing Instrument Specialist
1258 BRYAN RD
O FALLON, MO 63366
St. Charles County (636) 978-8088
DR. GARRETT RODNEY JACKSON D.C.
Chiropractor
1258 BRYAN RD
O FALLON, MO 63366
St. Charles County (636) 614-0401

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 Chiropractic's NPI number?

The NPI number for Jackson Chiropractic is 1669728101. It was assigned to this organization in the NPPES registry on August 2, 2012.

Where is Jackson Chiropractic located?

Jackson Chiropractic is located at 1258 Bryan Rd, O Fallon, MO 63366. The listed phone number is (636) 614-0401.

What is Jackson Chiropractic'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 Jackson Chiropractic was last updated on September 21, 2012. 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.