What is Kendell Jack's NPI number?

Kendell Jack's National Provider Identifier (NPI) is 1063386829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kendell Jack's specialty?

Kendell Jack is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).

Where is Kendell Jack located?

Kendell Jack's practice location on file with NPPES is 7765 Healdsburg Ave, Sebastopol, CA 95472-3309.

What is Kendell Jack's phone number?

The practice phone number listed in the NPPES registry for Kendell Jack is (707) 823-3113.

Is Kendell Jack's NPI active?

Yes — Kendell Jack's NPI (1063386829) is active in the NPPES registry as of the last update on 2025-10-03.

IndividualActive

Kendell Jack, D.C

NPI 1063386829 · Chiropractor · Sebastopol, CA

Kendell Jack, D.C is a Chiropractor provider in Sebastopol, CA (NPI 1063386829).

Provider details

NPI number: 1063386829
Entity type: Individual
Primary specialty: ChiropractorChiropractic Providers
Credential: D.C
Sex: Male
Sole proprietor: No
License: 37361 (CA)

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense 37361 (CA)
Chiropractic Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

7765 Healdsburg Ave

Sebastopol, CA 95472-3309

Phone: (707) 823-3113

Street-level locationGet directions

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Mailing address