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JACKSON EMPRISE L.L.C.
NPI 1841903804
Chiropractor in Phoenix, AZ

Active since January 04, 2023
15620 N TATUM BLVD STE 130, PHOENIX, AZ 85032(602) 612-2009(602) 916-0834 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackson Emprise L.l.c. NPPES

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

JACKSON EMPRISE L.L.C. (NPI 1841903804) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since January 2023. The organization lists Jordan Jackson, Clinic Owner, as its authorized official.

NPPES Registry Identity

NPI1841903804
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJACKSON EMPRISE L.L.C.
Location Address15620 N TATUM BLVD STE 130Phoenix, AZ 85032-4450
Mailing Address15620 N Tatum Blvd Ste 130Phoenix, AZ 85032-4450 · (602) 612-2009
Phone(602) 612-2009
Fax(602) 916-0834
Organization SubpartNo
Authorized OfficialJordan JacksonClinic Owner · (602) 612-2009
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1841903804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
15620 N TATUM BLVD STE 130, Phoenix, AZ 85032
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Emprise L.l.c. 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 Jackson Emprise L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Jackson, DC
Chiropractic
NPI 1619583069
280 US HIGHWAY 9 STE E
Morganville, NJ 07751
(732) 617-9355
✔ Accepts Medicare2,119 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 Jackson Emprise L.L.C.'s NPI number?

The NPI number for Jackson Emprise L.L.C. is 1841903804. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Jackson Emprise L.L.C. located?

Jackson Emprise L.L.C. is located at 15620 N Tatum Blvd Ste 130, Phoenix, AZ 85032. The listed phone number is (602) 612-2009.

What is Jackson Emprise L.L.C.'s specialty?

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

Is Jackson Emprise L.L.C. enrolled in Medicare?

Yes. Jackson Emprise L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Emprise L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jackson Emprise L.L.C.. 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.

When was this NPI record last updated?

The NPPES record for Jackson Emprise L.L.C. was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.