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Deactivated NPI 1639175946 Deactivated / Inactive NPI Male Practitioner

Dr. Shawn Anthony Jackson , DC

Chiropractor • Houston, TX

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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. Shawn Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date March 07, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Jackson, DC was a registered Chiropractor practicing in Houston, TX. Throughout an active medical career spanning 13 years, Dr. Jackson provided care at the practice location at 17430 NORTHWEST FWY STE D until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

17430 Northwest Fwy Ste D

Houston, TX 770401006

Telephone 7138961443
Fax 7138961435

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
785 Specialists

Practicing in Houston, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX DC 4856

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.

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 March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active December 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2008

Registered at 17430 NORTHWEST FWY STE D, HOUSTON, TX 770401006 (Tel: 7138961443)

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Updated Business Mailing Address December 22, 2008

Registered at 17430 NORTHWEST FWY, SUITE D, HOUSTON, TX 770401009 (Tel: 7138961443)

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Provider Name / Credentials Updated December 22, 2008

Recorded as SHAWN JACKSON, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2008

Chiropractor (License #DC 4856 in TX)

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Initial NPI Registration & Enumeration June 22, 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: 1639175946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: December 22, 2008
Deactivation Date: March 07, 2018

Mailing Address

17430 Northwest Fwy, Suite D

Houston, TX 770401009

Phone: 7138961443

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.