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Deactivated NPI 1144211657 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Donald Jackson , DC

Chiropractor • Wheat Ridge, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2005
NPI Deactivation Date June 19, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jackson, DC was a registered Chiropractor practicing in Wheat Ridge, CO. Throughout an active medical career spanning 20 years, Dr. Jackson provided care at the practice location at 12505 W 32ND AVE until profile deactivation on 2025-06-19.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12505 W 32nd Ave

Wheat Ridge, CO 800335254

Telephone 3032379617
Fax 3032376253
Associated Practice Facility / Clinic
🏢 Robert Donald Jackson Jr. Pc Facility NPI 1396872586

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Wheat Ridge, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Wheat Ridge, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
271 43 $81.07 $39.50

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO 2140

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1588341739

Doctor of Osteopathic Medicine (D.O.)

NPI 1760519813

Doctor of Chiropractic

NPI 1891000345

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 12505 W 32ND AVE, WHEAT RIDGE, CO 800335254 (Tel: 3032379617)

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Updated Business Mailing Address October 19, 2007

Registered at 12505 W 32ND AVE, WHEAT RIDGE, CO 800335254 (Tel: 3032379617)

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Provider Name / Credentials Updated October 19, 2007

Recorded as ROBERT JACKSON, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Chiropractor (License #2140 in CO)

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Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144211657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: October 19, 2007
Deactivation Date: June 19, 2025

Mailing Address

12505 W 32nd Ave

Wheat Ridge, CO 800335254

Phone: 3032379617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.