ANDREW SPENCER JACKSON (NPI# 1194811240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194811240 |
Entity Type | Individual |
Full Name | ANDREW SPENCER JACKSON |
Credential | DDS |
Practice Address |
1832 Capitol St Vallejo CA 94590 |
Practice Telephone | 7075524110 |
Practice Fax Number | 7075526224 |
Mailing Telephone | 7075524110 |
Mailing Fax Number | 7075526224 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
23115 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED CONCORDIA | 784273 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
1245291954 | Andrew Dan Jackson | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-03-31 |
1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
1528559358 | Andrew Jackson | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-05-29 |
1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
1285177253 | Andrew Jackson | Naturopath | 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 | 2016-11-23 |
Street Address |
1832 CAPITOL ST |
City | VALLEJO |
State | CA |
Zip Code | 94590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
Find all providers in zip 94590 |
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 |
---|---|---|---|---|
1407486988 | Thomas Galapon Salacup Dmd Inc | Dentist | 1512 Napa St Ste B, Vallejo, CA 94590-4416 | 2020-01-23 |
1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
1386954642 | Nhi Xuan Huynh | Dentist | 3400 Sonoma Blvd., Vallejo, CA 94542-1050 | 2010-10-20 |
1972811180 | Bryan Tao Le | Dentist | 100 Robin Ct, Vallejo, CA 94591-4120 | 2010-09-22 |
1770818031 | Manuel Zabat Caro | Dentist | 1660 Broadway St, Vallejo, CA 94590-2405 | 2009-10-05 |
1689833865 | Yusuke Suzuki | Dentist | 211 Cadloni Ln, B, Vallejo, CA 94591-8623 | 2008-06-03 |
1831388503 | Amy Gail English | Dentist | 1532 Tennessee St, Vallejo, CA 94590-4627 | 2007-10-18 |
1982892048 | Gigi Diem Huynh | Dentist | 3681 Rocky Shore Dr, Vallejo, CA 94591-8381 | 2007-10-13 |
1760672588 | Clara E. Balancio, Dds, Inc. | Dentist | 2809 Redwood Pkwy, Vallejo, CA 94591-3634 | 2007-07-27 |
1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
Find all providers in VALLEJO |
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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.