DR. TAWANN PATRICE JACKSON (NPI# 1164634507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164634507 |
| Entity Type | Individual |
| Full Name | DR. TAWANN PATRICE JACKSON |
| Credential | D.D.S. |
| Practice Address |
650 Pennsylvania Ave Se Suite 460 Washington DC 20003-4318 |
| Practice Telephone | 2025477772 |
| Practice Fax Number | 2025477796 |
| Mailing Telephone | 2025477772 |
| Mailing Fax Number | 2025477796 |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5105 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| Street Address |
650 PENNSYLVANIA AVE SE SUITE 460 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275594970 | Salim I Butrus | Ophthalmology | 650 Pennsylvania Ave Se, Suite 270, Washington, DC 20003-4318 | 2006-03-31 |
| 1942869920 | Chloe Ambrose | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-12 |
| 1871152033 | Lauren Fadem | Counselor | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1336708593 | Lamar Smith | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1417459835 | Kathleen Gem Shaw | Clinical Neuropsychologist | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2018-03-01 |
| 1336691450 | Capitol Hill Pediatric Dentistry | Dentist | 650 Pennsylvania Ave Se, 220, Washington, DC 20003-4318 | 2016-10-25 |
| 1114308384 | Paradigm Integrative Health, LLC | Psychiatry & Neurology | 650 Pennsylvania Ave Se, Suite 470, Washington, DC 20003-4318 | 2015-06-14 |
| 1013330570 | Sarah Marie Creveling | Counselor | 650 Pennsylvania Ave Se, Lr, Washington, DC 20003-4318 | 2014-02-03 |
| 1144560509 | Irene Mendoza | Counselor | 650 Pennsylvania Ave Se, Suite 240, Washington, DC 20003-4318 | 2013-02-22 |
| 1609141548 | Tsega Gsilassie | Physician Assistant | 650 Pennsylvania Ave Se, Ste 220, Washington, DC 20003-4318 | 2012-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| 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 |
|---|---|---|---|---|
| 1386261097 | Kelechi Ononauju Okereke | Dentist | Howard University-college of Dentistry 600 W Street Nw, Washington, DC 20059-0001 | 2020-06-29 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1700446010 | Kurtis Schuyler | Dentist | 416 Elm St # 4, Washington, MO 63090-2310 | 2019-06-18 |
| 1033779459 | 4900 Dental | Dentist | 4900 Massachusetts Ave Nw Ste 200, Washington, DC 20016-4358 | 2019-06-18 |
| 1356909147 | James Richard Young | Dentist | 64580 Van Dyke Rd Ste B, Washington, MI 48095-2811 | 2019-06-05 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1841750189 | Roman Moss | Dentist | 3000 Connecticut Ave Nw Ste 8, Washington, DC 20008-2542 | 2019-03-22 |
| 1538626734 | Stylishsmile.pllc | Dentist | 2737 Devonshire Pl Nw Ste A&b, Washington, DC 20008-3479 | 2019-02-23 |
| 1760960165 | District Dental Solutions | Dentist | 1140 19th St Nw Ste 220, Washington, DC 20036-6616 | 2018-07-30 |
| 1952817652 | Sai N Kham Dmd Pllc | Dentist | 2021 K St Nw Ste 412, Washington, DC 20006-1003 | 2017-12-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
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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.