DR. ALFRED MANWUEL JACKSON (NPI# 1164692224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692224 |
| Entity Type | Individual |
| Full Name | DR. ALFRED MANWUEL JACKSON |
| Credential | D.D.S., M.S. |
| Practice Address |
13527 Steelecroft Pkwy Suite C Charlotte NC 28278-7545 |
| Mailing Address |
125 W Tremont Ave Apt #833 Charlotte NC 28203-0014 |
| Practice Telephone | 7044640696 |
| Mailing Telephone | 3522568164 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2010-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8527 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750833414 | Alfred D. Jackson | Social Worker | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2016-10-28 |
| 1609189695 | Alfred Vaughn Derise Jackson Jr. | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2010-07-19 |
| 1417078908 | Alfred B Jackson IIi | Physician Assistant | 501 W 14th St, Suite 4154, Wilmington, DE 19801-1013 | 2007-04-02 |
| 1609923028 | Alfred Jackson | Psychiatry & Neurology | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2007-01-05 |
| Street Address |
13527 STEELECROFT PKWY SUITE C |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922318195 | Alfred M. Jackson Dds,ms Pllc | Dentist | 13527 Steelecroft Pkwy, Suite C, Charlotte, NC 28278 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251344 | Zammitti Gidaly Abrams Cohen & Associates V PC | Dentist | 13527 Steelecroft Pkwy Ste C, Charlotte, NC 28278-7887 | 2020-10-05 |
| 1710461520 | A M Jackson & Associates Dds Ms Pllc | Dentist | 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262-1353 | 2018-09-18 |
| 1528514726 | Jeffrey Chad Johnson Dds Pllc | Dentist | 8840 Blakeney Professional Dr Ste 202, Charlotte, NC 28277-6718 | 2016-08-28 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1740539782 | Orthodontic Care of Carolina, Pa | Dentist | 9320 Center Lake Drive, Suite100, Charlotte, NC 28216 | 2012-09-06 |
| 1578842001 | Lauren Rennick Lockhart | Dentist | 2620 W Arrowood Rd, Suite 102, Charlotte, NC 28273-6199 | 2011-08-15 |
| 1669685046 | Sean Paul Connolly | Dentist | 11440 Carmel Commons Blvd, Suite 109, Charlotte, NC 28226-5308 | 2007-05-08 |
| 1952521122 | Nanci Lara De Felippe | Dentist | 12311 Cherrybark Ln, Charlotte, NC 28278 | 2007-04-27 |
| 1134347768 | Amy Dover | Dentist | 11030 S. Tryon St., Suite 303, Charlotte, NC 28012 | 2007-04-20 |
| 1952434565 | Drs. Hull & Coleman Orthodontics | Dentist | 7800 Providence Rd Ste 201, Charlotte, NC 28226-2952 | 2007-03-13 |
| Find all providers in CHARLOTTE | ||||
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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.