DR. RODNEY ALLEN JACKSON (NPI# 1205931599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205931599 |
| Entity Type | Individual |
| Full Name | DR. RODNEY ALLEN JACKSON |
| Credential | DMD |
| Practice Address |
2517 Sir Barton Way Ste 200 Lexington KY 40509-2275 |
| Practice Telephone | 8595432456 |
| Practice Fax Number | 8595432373 |
| Mailing Telephone | 8595432456 |
| Mailing Fax Number | 8595432373 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7750 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60002201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972669 | Rodney Lajuan Jackson Jr. | Behavior Technician | 7445 39th Pl N, St Petersburg, FL 33709-4310 | 2019-03-21 |
| 1205125747 | Rodney Jackson | Occupational Therapist | 18135 W Catawba Ave Ste 11, Cornelius, NC 28031-5641 | 2011-04-05 |
| 1306981295 | Rodney Jackson | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2007-02-20 |
| 1285659615 | Rodney Gilkey Jackson | Chiropractor | 309 Laurel Ave, Tillamook, OR 97141-2313 | 2006-07-13 |
| 1457838062 | Rodney Jackson Jr. | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-07-26 |
| 1538602941 | Rodney Jackson Sr. | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-12-02 |
| 1093965089 | Rodney Dewayne Jackson | Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2008-09-25 |
| 1619975398 | Rodney Mark Jackson | Specialist | 3654 W Anthem Way, Suite B-114, Anthem, AZ 85086-0455 | 2005-07-07 |
| Street Address |
2517 SIR BARTON WAY STE 200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164954 | Arrow Dental Pllc | Clinic/Center | 2517 Sir Barton Way Ste 200, Lexington, KY 40509-2744 | 2020-05-05 |
| 1962765297 | Amy Kathryn Luley | Dentist | 2517 Sir Barton Way Ste 200, Lexington, KY 40509-2275 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164876280 | Kyle Clayton Kirk | Dentist | 2517 Sir Barton Way # 200, Lexington, KY 40509 | 2016-04-14 |
| 1528429644 | Stephanie Silva | Dentist | 5080 Sunset Blvd Ste B, Lexington, SC 29072-7051 | 2016-03-16 |
| 1841667037 | Midlands Pediatric Dentistry LLC | Dentist | 253 Cedarcrest Dr, Lexington, SC 29072-3812 | 2015-08-24 |
| 1639571607 | Sunset Children's Dentistry | Dentist | 5080 Sunset Blvd, Suite B, Lexington, SC 29072-7051 | 2014-09-22 |
| 1043655392 | Emilee Young Sexton | Dentist | 2549 Sun Seeker Ct, Lexington, KY 40503-2980 | 2013-04-30 |
| 1295920346 | Wild Smiles, LLC | Dentist | 203 North Lake Drive, Lexington, SC 29072 | 2007-09-12 |
| 1639361785 | Daniel John Steckler | Dentist | Ky Clinic Dentistry, Room A-219, Lexington, KY 40536-0001 | 2007-08-13 |
| 1699975904 | Justin C. Clemens | Dentist | 620 Perimeter Dr., Suite 103, Lexington, KY 40517 | 2007-07-24 |
| 1417078726 | Tommy Christopher Burke | Dentist | 10855 Highway 412 W, Lexington, TN 38351-6283 | 2007-04-03 |
| 1699819524 | Dentistry for Children | Dentist | 216 Fountain Court, Suite 150, Lexington, KY 40509 | 2007-02-16 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on DR. RODNEY ALLEN JACKSON.
| 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.