Amanda Jackson, DC
NPI 1215657242ActiveIndividual· Chiropractor· Desoto, TX
Chiropractor (DC) with Portland Chiropractic Neurology, LLC, practicing in Desoto, Texas. Enrolled in Medicare as practitioner - chiropractic. Electronic Waveform Lab, Inc. reported $54.90 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1215657242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2022 |
| Last updated in NPPES | Aug 30, 2022 |
| Certified by provider | Aug 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 15264 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (ME) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Chiropractic |
| Secondary specialties | Neurology |
Medical group
- Portland Chiropractic Neurology, LLCPortland, ME · 9 clinicians
Industry payments (Open Payments)
- 2024$54.90 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Electronic Waveform Lab, Inc. | $54.90 | 2 |
What the 2024 payments were for
- Food and Beverage$54.90 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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