Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Michael Jack, D.P.M.
Podiatrist in Kent, OH · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1780080812
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Registry record
Entity type Individual (Type 1)
Name Dr. Michael Jack
Credential D.P.M.
Sex Male
Practice address 1930 State Route 59, Kent, OH, 44240
Phone (330) 673-3505
Fax (330) 673-4888
Enumeration date Nov 18, 2014
Last updated in NPPES Aug 20, 2020
Taxonomy & licenses
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 36.003804 (OH) Primary
DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle.
About the DPM credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Michael Jack?
Michael Jack is registered in NPPES with the primary taxonomy of Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Wrsc Acquisition Group, LLC Ambulatory Surgical Clinic/Center · Kent, OH NPI 1629053608 Linda Brinkerhoff Physical Therapist · Kent, OH NPI 1912987140 Randall Smith Surgery Physician · Kent, OH NPI 1699737114 Kenneth Hopper Specialist · Kent, OH NPI 1740219112 Steven Stowell Diagnostic Radiology Physician · Kent, OH NPI 1881623411 Albert J. Cook M.D. Inc Diagnostic Radiology Physician · Kent, OH NPI 1578593299 Ohio Imaging Centers Inc. Diagnostic Radiology Physician · Kent, OH NPI 1619907342 David Lan Diagnostic Radiology Physician · Kent, OH NPI 1992736888
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-20.