MICHAEL ALAN JACK (NPI# 1538242482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538242482 |
| Entity Type | Individual |
| Full Name | MICHAEL ALAN JACK |
| Credential | DDS ,MS |
| Practice Address |
822 Portage Trail Cuyahoga Falls OH 44221 |
| Mailing Address |
610 Fixler Drive Wadsworth OH 44281 |
| Practice Telephone | 3309292853 |
| Practice Fax Number | 3309293821 |
| Mailing Telephone | 3303341967 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
17357 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780080812 | Michael Jack | Podiatrist | 1930 State Route 59, Kent, OH 44240-4112 | 2014-11-18 |
| 1558453399 | Michael Jack | Dentist | 13403 13 Mile Rd, Warren, MI 48088 | 2006-09-29 |
| 1629023288 | Michael Jack | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804 | 2006-05-23 |
| Street Address |
822 PORTAGE TRAIL |
| City | CUYAHOGA FALLS |
| State | OH |
| Zip Code | 44221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075095 | Steffanie Rose Jewell-gens | Home Health Aide | 2042 High Street, Cuyahoga Falls, OH 44221 | 2018-06-01 |
| 1275058901 | Normita Harper | Licensed Practical Nurse | 3320 Elmwood Street, Cuyahoga Falls, OH 44221 | 2017-08-03 |
| 1780106344 | Brittany Spencer | Occupational Therapist | 1202 Buckingham Gate Blvd, Cuyahoga Falls, OH 44221 | 2017-07-14 |
| 1235675414 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 320 Broadway St. E, Summit, OH 44221 | 2017-01-12 |
| 1144778549 | Samantha Robertson | Student in an Organized Health Care Education/Training Program | 420 Washington Ave., Cuyahoga Falls, OH 44221 | 2016-09-14 |
| 1114394848 | Laura Miller | Social Worker | 650 Graham Rd Ste 191, Cuyahoga Falls, OH 44221 | 2015-08-28 |
| 1821415316 | Casey Kingsley | Occupational Therapy Assistant | 3131 Bailey Rd, Cuyahoga Falls, OH 44221 | 2014-03-24 |
| 1699199133 | Alicia Veauthier | Psychologist | 431 Stow. Ave., Cuyahoga Falls City Schools, Cuyahoga Falls, OH 44221 | 2014-02-04 |
| 1194003673 | Jodie Lee Fulton | Licensed Practical Nurse | 345 Marguerite Ave, Cuyahoga Falls, OH 44221 | 2011-08-01 |
| 1710283692 | Ashley L Berdine | Social Worker | 650 Graham Rd Ste 101, Cuyahoga Falls, OH 44221 | 2011-02-10 |
| Find all providers in zip 44221 | ||||
| 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 |
|---|---|---|---|---|
| 1073595500 | Mark Francis Haas | Dentist | 1234 Portage Trl, Cuyahoga Falls, OH 44223-2104 | 2005-11-18 |
| 1255489340 | Ohio Orthodontic Specialists | Dentist | 1251 Main St, Cuyahoga Falls, OH 44221-4944 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1972060408 | Blue Jackets Braces | Dentist | 1175 Columbus Pike, Delaware, OH 43015-2713 | 2019-02-20 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CUYAHOGA FALLS |
| Zip Code | 44221 |
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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.