JESSICA ROSE JACKSON (NPI# 1861519035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861519035 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE JACKSON |
| Credential | DMD |
| Practice Address |
911 Country Club Rd Suite 222 Eugene OR 97401-6044 |
| Practice Telephone | 5413422477 |
| Mailing Telephone | 5413422477 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D7772 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
911 COUNTRY CLUB RD SUITE 222 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578546826 | Mckenzie River Foot Clinic LLC | Podiatrist | 911 Country Club Rd, Suite 200, Eugene, OR 97401 | 2005-11-21 |
| 1639458409 | William E Betts | Nurse Practitioner | 911 Country Club Rd, Ste 390, Eugene, OR 97401 | 2011-08-11 |
| 1952589368 | Leslie Anne Maclaggan | Physical Therapist | 911 Country Club Rd, Suite 150, Eugene, OR 97401-6044 | 2008-02-07 |
| 1891857462 | Daniel Poulson Bitner | Dentist | 911 Country Club Rd, Suite # 140, Eugene, OR 97401-6044 | 2006-12-13 |
| 1588744809 | Michael Thomas Dryden | Dentist | 911 Country Club Rd, Suite 140, Eugene, OR 97401-6044 | 2006-10-17 |
| 1568470201 | Carrie S Waters | Physical Therapist | 911 Country Club Rd, Suite 150, Eugene, OR 97401-6044 | 2006-08-04 |
| 1295743748 | Oregon Spine and Physical Therapy | Physical Therapist | 911 Country Club Rd, Suite 150, Eugene, OR 97401-6044 | 2006-08-03 |
| 1053350793 | Steven Edward Smith | Dentist | 911 Country Club Rd, Eugene, OR 97401-6044 | 2006-06-06 |
| 1740246537 | Joni Marie Breaux | Physical Therapy Assistant | 911 Country Club Rd, Suite 150, Eugene, OR 97401 | 2006-04-21 |
| 1922074251 | Judy A Cirullo | Physical Therapist | 911 Country Club Rd, Suite 150, Eugene, OR 97401-6044 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720461981 | Aaron Lau | Dentist | 890 Seneca Rd, Ste 100, Eugene, OR 97402-6900 | 2015-07-07 |
| 1467845446 | Ronald J Levine Dmd PC | Dentist | 244 B Country Club Rd, Eugene, OR 97401-2200 | 2015-03-14 |
| 1649668609 | Joe W. Martin,d.d.s.,p.c. | Dentist | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2014-12-29 |
| 1285043166 | Andrew Trevor Tillman | Dentist | 86479 N Modesto Dr, Eugene, OR 97402-9008 | 2014-08-05 |
| 1609208040 | Sung Yeon Ji | Dentist | 927 Country Club Rd Ste 100, Eugene, OR 97401-6018 | 2013-08-08 |
| 1558645499 | Katharine S Berka | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2011-10-10 |
| 1124254230 | John Palmer Mckim | Dentist | 1045 Willagillespie Rd Suite 125, Eugene, OR 97401 | 2009-06-03 |
| 1326297524 | Olga Weinstein | Dentist | 3007 N Delta Hwy Unit 203, Eugene, OR 97408-7119 | 2008-09-11 |
| 1306000518 | Benjamin Lavarn Thomas | Dentist | 895 Country Club Rd Ste C150, Eugene, OR 97401-2359 | 2008-07-16 |
| 1073786364 | James Wayne Ridley | Dentist | 1925 Bailey Hill Rd, Suite A, Eugene, OR 97405-1142 | 2008-04-08 |
| Find all providers in EUGENE | ||||
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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.