DR. SUSANNE PARKHURST JACKSON (NPI# 1033260096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033260096 |
| Entity Type | Individual |
| Full Name | DR. SUSANNE PARKHURST JACKSON |
| Credential | D.D.S. |
| Practice Address |
121 S Estes Dr Suite 205-a Chapel Hill NC 27514-2868 |
| Mailing Address |
32 N Circle Dr Chapel Hill NC 27516-3106 |
| Practice Telephone | 9199689874 |
| Practice Fax Number | 9199698377 |
| Mailing Telephone | 9199299345 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7143 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER | 902EF | 01 |
| NC | 89902EF | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427150242 | Susanne Socha Jackson | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-09-02 |
| Street Address |
121 S ESTES DR SUITE 205-A |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891735502 | Ann Fairfax Baker | Psychologist | 121 S Estes Dr, Suite 204c, Chapel Hill, NC 27514-2868 | 2006-06-08 |
| 1659617645 | Jennie Welner | Nurse Practitioner | 121 S Estes Dr, Suite 205d, Chapel Hill, NC 27514-2868 | 2012-12-18 |
| 1942435979 | Meng Monica Meng | Dentist | 121 S Estes Dr, Suite 206, Chapel Hill, NC 27514-2868 | 2009-05-19 |
| 1124224134 | Jennifer Riann Howard | Dentist | 121 S Estes Dr, Suite 206, Chapel Hill, NC 27514-2868 | 2007-06-26 |
| 1194869263 | Sid Pazokian | Dentist | 121 S Estes Dr, Suit#206, Chapel Hill, NC 27514-2868 | 2007-02-20 |
| 1508904079 | Cynthia Anne Fraed | Obstetrics & Gynecology | 121 S Estes Dr, Suite 205-d, Chapel Hill, NC 27514-2868 | 2007-02-04 |
| 1306912704 | Patricia Jean Catanio | Social Worker | 121 S Estes Dr, 204a, Chapel Hill, NC 27514-2868 | 2006-11-28 |
| 1417043605 | Jeffrey Noble Berndt | Dentist | 121 S Estes Dr, Chapel Hill, NC 27514-2868 | 2006-10-05 |
| 1952414617 | Sonia Rapaport | Family Medicine | 121 S Estes Dr, Suite 205d, Chapel Hill, NC 27514-2868 | 2006-08-16 |
| 1710909288 | Phillip Fullwood | Psychiatry & Neurology | 121 S Estes Dr, Suite 100, Chapel Hill, NC 27514-2868 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| 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 |
|---|---|---|---|---|
| 1073121398 | Teebok Choe | Dentist | 385 S Columbia St Periodontics Department, Chapel Hill, NC 27599-0001 | 2020-07-22 |
| 1447875505 | Liliana Rios | Dentist | 11312 Us 15 501 N Ste 107-139, Chapel Hill, NC 27517-6375 | 2020-06-14 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1770065435 | Mauro Forgearini Nunes | Dentist | 439 Brauer Hall, Chapel Hill, NC 27599-7450 | 2018-08-29 |
| 1902394265 | Parkway Family Dentistry | Dentist | 79 Falling Springs Dr Ste 110, Chapel Hill, NC 27516-8493 | 2018-04-23 |
| 1013419795 | John Joseph Paterno II | Dentist | 53522 Bickett, Chapel Hill, NC 27517-8570 | 2018-03-08 |
| 1316454655 | Jessica L Bishop Dds Pa | Dentist | 6015 Farrington Rd Ste 102, Chapel Hill, NC 27517-8154 | 2018-01-09 |
| 1932628401 | Shaina Holman, D.d.s., Ph.d., P.a. | Dentist | 1836 Mlk Blvd, Chapel Hill, NC 27514-7415 | 2017-09-15 |
| 1811426406 | Ivette Landrian | Dentist | 3 Wellesley Pl, Chapel Hill, NC 27517 | 2017-06-07 |
| 1245786458 | Jones, Kofford, & Smith Dds II,pllc | Dentist | 1525 E Franklin St Suite 2, Chapel Hill, Nc 27514, Chapel Hill, NC 27514 | 2016-08-28 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
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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.