DR. JOSEPH L JACKSON (NPI# 1760708127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760708127 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH L JACKSON |
| Credential | DDS, MS |
| Practice Address |
1241 Riverside Ave Fort Collins CO 80524-3204 |
| Practice Telephone | 3173709529 |
| Mailing Telephone | 3173709529 |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
00204350 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152773 | Joseph Granville Jackson | Counselor | 411 Sparrow St, Lake Providence, LA 71254-3035 | 2016-01-22 |
| 1538560123 | Joseph Ryan Jackson | Chiropractor | 1043 Brownsville Rd, Morgantown, KY 42261-7011 | 2014-09-15 |
| 1922392927 | Joseph Alling Jackson | Social Worker | 66 Old Stockbridge Rd, Lenox, MA 01240-2810 | 2011-06-07 |
| 1962731315 | Joseph S Jackson | Counselor | 502 Downing Ct, Exton, PA 19341-2090 | 2009-12-14 |
| 1851547749 | Joseph Loy Jackson | Dentist | 2719 Limestone Pkwy, Gainesville, GA 30501-1472 | 2008-08-12 |
| 1235306143 | Joseph Jackson | Physical Therapist | 15640 S Normandie Ave, Gardena, CA 90247-4016 | 2008-05-09 |
| 1518175520 | Joseph William Jackson | Dentist | 322 N Elm St, Oxford, OH 45056-1123 | 2007-05-21 |
| 1801918602 | Joseph C Jackson Jr. | Dentist | 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 | 2007-04-04 |
| 1073633624 | Joseph A Jackson | Psychiatry & Neurology | 30941 Mill Ln Ste G-132, Spanish Fort, AL 36527-5456 | 2007-03-29 |
| 1649352691 | Joseph Barry Jackson | Optometrist | 3323 Frontage Rd, Peru, IL 61354-1101 | 2006-10-19 |
| Street Address |
1241 RIVERSIDE AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093246142 | Radiant Dental Hygiene | Dental Hygienist | 1241 Riverside Ave, Fort Collins, CO 80524-3204 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| 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 |
|---|---|---|---|---|
| 1871850131 | Moira Gini Groh | Dentist | 2121 Midpoint Dr Ste 102, Fort Collins, CO 80525 | 2012-04-11 |
| 1568765105 | Mountain Kids Pediatric Dentistry | Dentist | 2016 Orchard Pl, Fort Collins, CO 80521-3213 | 2010-12-20 |
| 1144498999 | Pediatric Dentistry of The Rockies Pllc | Dentist | 4609 S Timberline Rd, Suite 103b, Fort Collins, CO 80528-3170 | 2008-02-14 |
| 1366585408 | Keith Allen Van Tassell | Dentist | 2001 S Shields St Bldg A, Suite 2, Fort Collins, CO 80526-1827 | 2007-02-15 |
| 1215083142 | Gregory Dean Evans | Dentist | 3221 Eastbrook Dr, A-101, Fort Collins, CO 80525 | 2007-01-25 |
| 1992894562 | Jennifer K Hargleroad | Dentist | 2105 Bighorn Rd Ste 202, Fort Collins, CO 80525-3575 | 2006-10-12 |
| 1033207329 | Marykate Rusnak | Dentist | 3600 Mitchell Drive, Suite 40, Mountain Kids Pediatric Dentistry, Fort Collins, CO 80525 | 2006-10-11 |
| 1730635178 | Ncdi Drake, Professional LLP | Dentist | 383 W Drake Rd, Suite 103, Fort Collins, CO 80526-2884 | 2016-08-26 |
| 1275089617 | Ncdi Oak, Profession LLP | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7348 | 2016-08-26 |
| 1801277926 | Jennifer K Hargleroad Dds Ms Professional LLC | Dentist | 2105 Bighorn Rd, Suite 202, Fort Collins, CO 80525-3555 | 2015-06-15 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on DR. JOSEPH L 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.