DR. DAVID A JACKSON (NPI# 1639516776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639516776 |
| Entity Type | Individual |
| Full Name | DR. DAVID A JACKSON |
| Credential | D.D.S. |
| Practice Address |
1000 N Main St Ste 5 Lansing KS 66043-1315 |
| Mailing Address |
2548 Cherry St Kansas City MO 64108-2751 |
| Practice Telephone | 9137275522 |
| Mailing Telephone | 8165358778 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2011014452 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60828 | KS | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 E 25th St, Kansas City, MO 641082716 | 8162352121 | |
| 10925 Antioch Rd Ste 201, Overland Park, KS 662102119 | 9134911200 | |
| 2101 Charlotte St Ste 330, Kansas City, MO 641082727 | 8168974288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
1000 N MAIN ST STE 5 |
| City | LANSING |
| State | KS |
| Zip Code | 66043-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295987568 | George F. Jackson Jr. | Dentist | 1000 N Main St Ste 5, Lansing, KS 66043-1315 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1205210580 | Julie Ascher | Specialist/Technologist | 1412 147th Street, Lansing, KS 66043 | 2015-07-16 |
| 1164804324 | Erin D. Grosshuesch | Occupational Therapist | 757 W. Eisenhower, Lansing, KS 66043 | 2015-06-24 |
| 1043601669 | Rhonda Vaughn | Physical Therapy Assistant | 757 Eisenhower Rd, Lansing, KS 66043 | 2015-02-18 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1972768786 | Shayla Leann Kramer | Physical Therapist | 757 W Eisenhower, Lansing, KS 66043 | 2008-07-21 |
| 1780626945 | Jack Craig Stewart | Dentist | 615 Holiday Plaza, Lansing, KS 66043 | 2006-06-12 |
| 1518018837 | Vivek Sahgal, Md, Pa | Internal Medicine | 1004 Progress Dr, Ste 130, Lansing, KS 66043 | 2007-01-15 |
| 1134472640 | Twin Oaks Health and Rehab Operations, LLC | Skilled Nursing Facility | 757 W Eisenhower, Lansing, KS 66043-1110 | 2012-10-22 |
| 1750531281 | Janice M Gunter | Registered Nurse | 608 Valley Dr, Lansing, KS 66043-1235 | 2008-09-20 |
| Find all providers in zip 66043 | ||||
| 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 |
|---|---|---|---|---|
| 1326530114 | Nathan Jandernoa | Dentist | 2410 Lake Lansing Rd Ste 2, Lansing, MI 48912-3659 | 2018-06-06 |
| 1881005957 | Dental Dreams Pllc | Dentist | 6109 S Cedar St, Lansing, MI 48911-5714 | 2014-05-12 |
| 1558772632 | Shaheera Afzal | Dentist | 5139 W Saginaw Hwy, Lansing, MI 48917-2635 | 2014-05-12 |
| 1386919660 | Bettman & Bettman Family Dentistry | Dentist | 2909 E Grand River Ave Ste 212, Lansing, MI 48912-4335 | 2012-03-20 |
| 1699045906 | Gene Allen Keessen | Dentist | 3642 Lake St, Lansing, IL 60438-2471 | 2012-01-03 |
| 1598050254 | D2 Dental of Lansing, P.C. | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2011-06-10 |
| 1710154174 | Allcare Dental & Dentures of Mi PC | Dentist | 3020 E Saginaw St, Lansing, MI 48912-4746 | 2008-05-14 |
| 1841460227 | William Clare Robertson | Dentist | 4101 S Pennsylvania Ave, Lansing, MI 48910 | 2008-03-03 |
| 1730366931 | Weldon A Burchill | Dentist | 1515 W Mount Hope Ave, Suite 3, Lansing, MI 48910-2664 | 2008-01-30 |
| 1093927360 | Painless Dentistry Iv PC | Dentist | 1808 S Pennsylvania Avenue, Lansing, MI 48910 | 2007-05-07 |
| Find all providers in LANSING | ||||
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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.