Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jackson Clay Shubin, DC

Individual provider Chiropractor · NPI 1114745668

Mr. Jackson Clay Shubin, DC is a Chiropractic in Idaho Falls, Idaho. Qualified in 2023, 3 years ago. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

645 S Woodruff Ave
Idaho Falls, ID 83401
Phone: (208) 552-9886
Fax: (208) 718-9847
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-2387 (ID)

Record details

NPI number1114745668
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Idaho Falls