DR. BRANDI ROCHELLE JACKSON (NPI# 1912186321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912186321 |
| Entity Type | Individual |
| Full Name | DR. BRANDI ROCHELLE JACKSON |
| Credential | DDS |
| Practice Address |
11223 Davinci Dr Davidson NC 28036-7799 |
| Practice Telephone | 7048956445 |
| Practice Fax Number | 7048956496 |
| Mailing Telephone | 7048956445 |
| Mailing Fax Number | 7048956496 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8224 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1316406747 | Brandi Jackson | Physical Therapist | 2572 E South Weber Dr Ste 5, South Weber, UT 84405-9550 | 2019-03-15 |
| 1356817050 | Brandi Jackson | Nurse Practitioner | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2018-10-19 |
| 1154803104 | Brandi Lynette Jackson | Behavior Technician | 5300 Lennox Ave, Bakersfield, CA 93309-1662 | 2018-09-05 |
| 1255793501 | Brandi Nicole Jackson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2016-03-25 |
| 1376927830 | Brandi Jackson | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-15 |
| 1568853984 | Brandi Jackson | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2015-02-06 |
| 1447209630 | Brandi L Jackson | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2006-05-08 |
| Street Address |
11223 DAVINCI DR |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-7799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457833469 | S. Vakil Dds Ms II, Pa | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2018-09-06 |
| 1881975191 | Brandi R. Jackson Dds, Ms, Pllc | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| 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 |
|---|---|---|---|---|
| 1457833469 | S. Vakil Dds Ms II, Pa | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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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.