CHRIS R JACKSON (NPI# 1003478629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003478629 |
| Entity Type | Individual |
| Full Name | CHRIS R JACKSON |
| Practice Address |
Isu Family Dentistry 1311 E Central Dr Meridian ID 83642 |
| Mailing Address |
8475 W Westchester Ave Boise ID 83704-4375 |
| Practice Telephone | 2083731700 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-5055 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366497 | Chris G Jackson | Community Health Worker | 6191 N State Highway 161 Ste 650, Irving, TX 75038-2250 | 2013-01-22 |
| 1316011190 | Chris Jackson | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2006-11-20 |
| 1336197318 | Chris Edward Jackson | Chiropractor | 2308d Memorial Blvd, Springfield, TN 37172-3929 | 2006-05-04 |
| 1770193526 | Chris Jackson | Respiratory Therapist, Certified | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-06 |
| Street Address |
ISU FAMILY DENTISTRY 1311 E CENTRAL DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| 1861982456 | St Lukes Clinic - Treasure Valley LLC | Preventive Medicine | 5155 S Howry Lane, Meridian, ID 83642 | 2018-05-18 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
| 1598144198 | Signature Smiles | Dentist | 3200 N Leslie Way Ste 110, Meridian, ID 83646-5362 | 2015-05-28 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1043562143 | Meridian Smiles Dentistry, PC | Dentist | 2274 N Eagle Rd Ste 130, Meridian, ID 83646-6285 | 2012-10-12 |
| 1366707796 | Scott Richard Thompson | Dentist | 6700 N Linder Rd, Meridian, ID 83646-6606 | 2012-07-11 |
| 1477861334 | Accure Dental and Dentures | Dentist | 1505 S Eagle Rd, Ste. 150, Meridian, ID 83642-9346 | 2010-09-14 |
| 1184944290 | Matthew Joel Harris | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2010-06-11 |
| 1801119367 | Meridian Dental Associates | Dentist | 1411 22nd Ave., Meridian, MS 39301-2046 | 2010-03-11 |
| 1528293255 | Gaylan Chris Holdaway | Dentist | 3325 N Ten Mile Rd # 140, Meridian, ID 83646-5409 | 2009-05-26 |
| 1942410881 | James Carl Griffith | Dentist | 1901 23rd Ave, Meridian, MS 39301-3108 | 2007-05-22 |
| Find all providers in MERIDIAN | ||||
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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.