DR. KRISTIN M JACKSON (NPI# 1174616825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174616825 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN M JACKSON |
| Credential | D.D.S., M.S.D. |
| Practice Address |
45 N Madison Ave Greenwood IN 46142-3526 |
| Practice Telephone | 3178873180 |
| Practice Fax Number | 3178822718 |
| Mailing Telephone | 3178873180 |
| Mailing Fax Number | 3178822718 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12009767 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1689221277 | Kristin L Jackson | Physical Therapy Assistant | 15820 Addison Rd, Addison, TX 75001-3549 | 2019-08-20 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1104255116 | Kristin Mary Jackson | Psychologist | 410 N Prince St, Lancaster, PA 17603-3010 | 2013-11-11 |
| 1740578707 | Kristin Ann Monnat Jackson | Nurse Anesthetist, Certified Registered | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2011-07-12 |
| 1861417859 | Kristin M. Jackson | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-07-12 |
| 1720037724 | Kristin Jackson | Podiatrist | 1108 1st St Se, Little Falls, MN 56345-3440 | 2006-05-08 |
| Street Address |
45 N MADISON AVE |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013960590 | Cary Zietlow | Internal Medicine | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-05-18 |
| 1427143643 | Jackson Periodontics | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-04 |
| 1326091836 | Community Hospitals of Indiana Inc | Internal Medicine | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184849689 | Charles A West | Dentist | 1815 Montague Avenue, Extension Unit 2, Greenwood, SC 29649 | 2007-04-17 |
| 1972635118 | Erin E. Wittrig | Dentist | 45 N. Madison Ave, Greenwood, IN 46142 | 2007-03-12 |
| 1558456772 | T. Ryan Jackson | Dentist | 45 N. Madison Ave., Greenwood, IN 46142 | 2006-10-04 |
| 1427143643 | Jackson Periodontics | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524477 | Katherine E. Ferry | Dentist | 4303 E Windsor Ln, Columbus, IN 47201-4022 | 2020-10-08 |
| 1609421965 | Hawra Alqallaf | Dentist | 1121 W Michigan St # Ds422, Indianapolis, IN 46202-5211 | 2019-08-05 |
| 1952814238 | Center for Implant Denistry and Periodontics, LLC | Dentist | 9885 E 116th St Ste 300, Fishers, IN 46037-9242 | 2017-11-09 |
| 1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
| 1538410451 | Eon Clinics Indiana LLC | Dentist | 10020 Calumet Ave, Munster, IN 46321-4055 | 2012-10-02 |
| 1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
| 1588997183 | Shane T Cope Dds, PC | Dentist | 10435 Commerce Drive, Suite 120, Carmel, IN 46032 | 2009-09-14 |
| 1366697070 | Bruce B. Wiland, Dds, Msd | Dentist | 3415 S Lafountain St Ste K, Kokomo, IN 46902-3827 | 2008-11-21 |
| 1023267770 | James M. Humphrey | Dentist | 221 S. 19th Street, Terre Haute, IN 47807-4129 | 2008-09-17 |
| 1891968194 | James Kirk | Dentist | 500 W Lincoln Hwy Ste N, Merrillville, IN 46410 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
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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.