CYNTHIA L JACKSON DDS MS INC (NPI# 1962511659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962511659 |
| Entity Type | Organization |
| Organization Name | CYNTHIA L JACKSON DDS MS INC |
| Other Organization Name | ALPINE ORTHODONTICS |
| Practice Address |
1620 Alpine Blvd Ste 212 Alpine CA 91901-1105 |
| Practice Telephone | 6194458883 |
| Practice Fax Number | 6194458890 |
| Mailing Telephone | 6194458883 |
| Mailing Fax Number | 6194458890 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CYNTHIA LEE JACKSON (OWNER) |
| Authorized Official Telephone | 6194458883 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
37034 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Alpine Orthodontics | Doing Business As Name - Organization |
| Street Address |
1620 ALPINE BLVD STE 212 |
| City | ALPINE |
| State | CA |
| Zip Code | 91901-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144204934 | Robert D Krause | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2005-12-05 |
| 1194078865 | Barry Katzman, M.d., Inc., Apc | Optometrist | 1620 Alpine Blvd, #117, Alpine, CA 91901-1102 | 2012-10-18 |
| 1477734614 | Samuel David Dove | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2007-11-15 |
| 1164639662 | Rachel Bader | Psychologist | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2007-05-16 |
| 1013071497 | Jennifer Kugel Fritz | Psychologist | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-12-20 |
| 1932293024 | Bryan Todd Stephenson | Physical Therapist | 1620 Alpine Blvd, Suite 211, Alpine, CA 91901-1102 | 2006-10-03 |
| 1780795476 | Joyce Patricia Kellawon | Internal Medicine | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-08-31 |
| 1164436705 | Jonar R Bonifacio | Dentist | 1620 Alpine Blvd, #121, Alpine, CA 91901-1102 | 2006-07-28 |
| 1245275338 | Linda M Kampp | Internal Medicine | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-06-20 |
| 1124082565 | Julie S Hahn | Psychologist | 1620 Alpine Blvd, #211, Alpine, CA 91901-1102 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| Find all providers in zip 91901 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1194710681 | Andrew Fenton | Dentist | 75 W Main Street Ct Ste 200, Alpine, UT 84004-5602 | 2005-09-12 |
| 1235750811 | S J Shahangian Dds Ms Inc | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-05-05 |
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|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
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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.