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Dr. Jackson Dale Clements , DC

Chiropractor β€’ Overland Park, KS

Active NPI 1376249516 Individual Practitioner Male Practitioner
Practice location in NPPES

12631 Antioch Rd
Overland Park, KS 662131701

Call 9136850022 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12631 Antioch Rd

Overland Park, KS 662131701

Telephone 9136850022
Organization at the Same NPPES Address or Phone
Brown Grantham Family Chiropractic Pa Facility NPI 1801069927

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Clements has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Overland Park and Kansas

233 active clinicians are listed under Chiropractor with a practice address in Overland Park, KS (1,464 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Overland Park

0% of these 233 clinicians have the CMS telehealth indicator.

36.5% of these 233 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-11
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES KS 01-06246

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20230314001507

Enrollment State Jurisdiction

KS

PECOS Control ID

5991179988

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1447348289

Doctor of Chiropractic, Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ”„
NPI Profile Reactivated February 11, 2023

Record officially reactivated for active practice on February 11, 2023

πŸ“
Practice Location (Initial Record) February 11, 2023

Registered at 12631 ANTIOCH RD, OVERLAND PARK, KS 662131701 (Tel: 9136850022)

πŸ“
Business Mailing Address (Initial Record) February 11, 2023

Registered at 14751 OUTLOOK ST, OVERLAND PARK, KS 662231182 (Tel: 9135686287)

πŸ‘€
Provider Name / Credentials (Initial Record) February 11, 2023

Recorded as JACKSON CLEMENTS, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2023

Chiropractor (license number reported to NPPES: KS 01-06246)

⚠️
NPI Profile Deactivated February 03, 2023

NPPES lists this NPI as deactivated as of February 03, 2023; the reason is not published.

🟒
Initial NPI Registration & Enumeration January 31, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376249516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2023
Last Update: February 11, 2023
Sole Proprietor: Yes

Other Chiropractors in Overland Park

All Chiropractors in Overland Park

Mailing Address

14751 Outlook St

Overland Park, KS 662231182

Phone: 9135686287

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.