ROGER JACKSON (NPI# 1013135086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013135086 |
| Entity Type | Individual |
| Full Name | ROGER JACKSON |
| Practice Address |
11144 N Frank Lloyd Wright Blvd Ste E8 Scottsdale AZ 85259-2646 |
| Practice Telephone | 4808609700 |
| Mailing Telephone | 4808609700 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4758 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881214872 | Roger Lee Jackson II | Emergency Medical Technician, Intermediate | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-04-20 |
| 1366957342 | Roger Dale Jackson | Counselor | 8200 Georgia St, Merrillville, IN 46410-6227 | 2017-12-12 |
| 1811044548 | Roger P Jackson | Orthopaedic Surgery | 2750 Clay Edwards Dr Ste 600, North Kansas City, MO 64116-3258 | 2007-01-04 |
| 1932177417 | Roger K Jackson | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-09 |
| Street Address |
11144 N FRANK LLOYD WRIGHT BLVD STE E8 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851438501 | Tv Orthodontics, P.C. | Dentist | 11144 N Frank Lloyd Wright Blvd, Suite 220, Scottsdale, AZ 85259-2646 | 2007-01-31 |
| 1013235860 | David Eric Hoffman | Dentist | 11144 N Frank Lloyd Wright Blvd, #220, Scottsdale, AZ 85259-2646 | 2010-05-04 |
| 1821219981 | Muneeza Khan | Dental Hygienist | 11144 N Frank Lloyd Wright Blvd, Ste E8, Scottsdale, AZ 85259-2646 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240624 | Mayya Ivanovna Ananyeva | Dentist | 6345 E Bell Rd Ste 1, Scottsdale, AZ 85254-6451 | 2020-06-21 |
| 1730705468 | Lindsay Ilana Gibson | Dentist | 12270 N 83rd St, Scottsdale, AZ 85260-5202 | 2020-06-18 |
| 1679197610 | Chadwick Kyle Brady | Dentist | 7000 E Shea Blvd Ste 1510, Scottsdale, AZ 85254-5233 | 2020-06-05 |
| 1639793631 | Leila Shahbazi | Dentist | 2959 N 68th Pl Unit 207, Scottsdale, AZ 85251-6873 | 2020-06-04 |
| 1720618333 | Brad The Dentist, Pllc | Dentist | 9304 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7768 | 2020-01-23 |
| 1730740960 | Signature Sleep Solutions LLC | Dentist | 10855 N Frank Lloyd Wright Blvd Ste 105, Scottsdale, AZ 85259-4064 | 2019-06-27 |
| 1134607641 | Coombs Smile Studio, PC | Dentist | 8535 E Hartford Dr Ste 208, Scottsdale, AZ 85255-5444 | 2018-08-06 |
| 1417464637 | Harmony Dental Partners, LLC | Dentist | 6501 E Greenway Pkwy Ste 101, Scottsdale, AZ 85254-2066 | 2018-01-09 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1396266417 | Lianjie, LLC | Dentist | 9188 E San Salvador Dr Ste 105, Scottsdale, AZ 85258-5534 | 2017-06-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.