DR. CHARLES JACKSON (NPI# 1982769840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982769840 |
Entity Type | Individual |
Full Name | DR. CHARLES JACKSON |
Credential | DMD |
Practice Address |
3540 82nd St Jackson Heights NY 11372-5159 |
Practice Telephone | 7184467100 |
Practice Fax Number | 7184468900 |
Mailing Telephone | 7184467100 |
Mailing Fax Number | 7184468900 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
35470 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
Street Address |
3540 82ND ST |
City | JACKSON HEIGHTS |
State | NY |
Zip Code | 11372-5159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043685787 | Triboro Pediatrics PC | Pediatrics | 3540 82nd St, Suite D, Jackson Heights, NY 11372-5105 | 2015-12-07 |
1295968816 | Kiren Gehani | Dentist | 3540 82nd St, 1f, Jackson Heights, NY 11372-5159 | 2009-08-30 |
1871770495 | Rekha Chandurpal Gehani Dentist P.C. | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2008-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
Find all providers in zip 11372 |
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 |
---|---|---|---|---|
1265972616 | Haeyoon Yang | Dentist | 8618 37th Ave, Jackson Heights, NY 11372-7533 | 2017-03-05 |
1093161747 | Sulochana Gurung | Dentist | 8710 Northern Blvd Ste 204, Jackson Heights, NY 11372-1642 | 2016-05-12 |
1033460753 | Mn Denatlcare LLC | Dentist | 3723 78th St, Jackson Heights, NY 11372-6631 | 2012-09-20 |
1841563012 | Mary Frances Ditolla | Dentist | 34-41 85th Street, Apt. 1-a, Jackson Heights, NY 11372 | 2012-02-17 |
1598053373 | D&s Dental PC | Dentist | 3717 90th St Ste 1, Jackson Heights, NY 11372-7875 | 2011-07-14 |
1215238183 | Bestcare Family Dental | Dentist | 8809 Northern Blvd, Jackson Heights, NY 11372-1626 | 2010-11-09 |
1205086147 | 82nd Dental Pllc | Dentist | 8201 Roosevelt Ave, 2nd Floor, Jackson Heights, NY 11372-7034 | 2008-09-29 |
1417116013 | Jeffrey D Haimson Dmd Pllc | Dentist | 8306 Northern Blvd, Jackson Heights, NY 11372-1460 | 2008-06-09 |
1992964761 | Yolanda Cecilia Arteaga | Dentist | 34-28 86th Street, Jackson Heights, NY 11372 | 2008-06-05 |
1144495607 | Georgina Lopez | Dentist | 3757 92nd St, Jackson Heights, NY 11372-7947 | 2008-04-25 |
Find all providers in JACKSON HEIGHTS |
City | JACKSON HEIGHTS |
Zip Code | 11372 |
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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.