Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON DALE CLEMENTS, DC
Deactivated Sole ProprietorDR. JACKSON DALE CLEMENTS, DC is a Chiropractor healthcare provider located in OVERLAND PARK, Kansas. NPI 1376249516 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · OVERLAND PARK, KS
This NPI has been deactivated.
The record was deactivated on February 3, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1376249516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2023 (0.0082191780821918 yrs)
- Last Updated
- Feb 11, 2023
- Deactivated
- Feb 3, 2023
- License
-
01-06246 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12631 ANTIOCH RDOVERLAND PARK, KS, 662131701Browse KS providers · Browse ZIP 66213
- Phone
- 9136850022
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in OVERLAND PARK, KS
| Name | Credential | NPI |
|---|---|---|
| DR. RORY A DOPPS | D.C. | 1720085202 |
| DR. LARRY A HOLTFRERICH | DC | 1881696649 |
| DR. CONSTANCE M ROBERTSON | DC | 1407842768 |
| DR. MEGGAN MARIE JACKS | D.C. | 1841279312 |
| DR. R SCOTT BITNER | DC | 1497735781 |
| DR. JAVID NOOROLLAH | D.C. | 1891760732 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.