Dr. Jackson Dale Clements , DC
Chiropractor • Overland Park, KS
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. Jackson Clements has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jackson Clements, DC was a registered Chiropractor practicing in Overland Park, KS. Throughout an active medical career spanning 1 years, Dr. Clements provided care at the practice location at 12631 ANTIOCH RD until profile deactivation on 2023-02-03.
Practice Location & Contact Primary Location
12631 Antioch Rd
Overland Park, KS 662131701
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Overland Park, KS
Practicing in Overland Park, KS (1507 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-02-11NUCC Taxonomy Code: 111N00000X
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
Chiropractor
Doctor of Chiropractic, Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record officially reactivated for active practice on February 11, 2023
Registered at 12631 ANTIOCH RD, OVERLAND PARK, KS 662131701 (Tel: 9136850022)
Registered at 14751 OUTLOOK ST, OVERLAND PARK, KS 662231182 (Tel: 9135686287)
Recorded as JACKSON CLEMENTS, DC
Chiropractor (License #01-06246 in KS)
Record deactivated on February 03, 2023
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14751 Outlook St
Overland Park, KS 662231182
Phone: 9135686287
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