RSVM JACKSON PLLC (NPI# 1720602923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720602923 |
| Entity Type | Organization |
| Organization Name | RSVM JACKSON PLLC |
| Practice Address |
1101 Thorpe Ln Ste 101 San Marcos TX 78666-7139 |
| Practice Telephone | 2144931216 |
| Practice Fax Number | 2142928661 |
| Mailing Telephone | 2144931216 |
| Mailing Fax Number | 2142928661 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | NINA ABTAHI (MANGER) |
| Authorized Official Telephone | 2144931216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Space | Doing Business As Name - Organization |
| Street Address |
1101 THORPE LN STE 101 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1194381251 | Babak Shahrokh Dmd Inc | Dentist | 365 S Rancho Santa Fe Rd Ste 105, San Marcos, CA 92078-2338 | 2019-05-14 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1568987915 | Petrova Dental Corporation | Dentist | 997 W San Marcos Blvd Ste 106, San Marcos, CA 92078-1136 | 2017-08-07 |
| 1386173458 | Travis John Quintanilla | Dentist | 200 Springtown Way Ste 108, San Marcos, TX 78666-7142 | 2017-06-12 |
| 1366705030 | John C. Nosti Dental Corporation | Dentist | 145 S Las Posas Rd, Suite 162, San Marcos, CA 92078-2419 | 2012-06-19 |
| 1912202342 | Quang Le and Vinh Le Dental Corporation | Dentist | 727 W San Marcos Blvd Ste 111, San Marcos, CA 92078-1244 | 2011-01-15 |
| 1851601801 | Parminder Kaur | Dentist | 2762 Dove Tail Dr, San Marcos, CA 92078-0931 | 2010-10-08 |
| 1295056984 | Fratt Dental Corporation | Dentist | 752 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2010-06-16 |
| 1467787713 | Kathryn A Dardis | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2009-10-05 |
| 1952549008 | De Luna Dental Corporation | Dentist | 3643 Grand Ave Ste D, San Marcos, CA 92078-2336 | 2009-01-28 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
Please comment or provide details below to improve the information on RSVM JACKSON PLLC.
| 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.