DR. DANA M JACKSON (NPI# 1225053531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225053531 |
| Entity Type | Individual |
| Full Name | DR. DANA M JACKSON |
| Credential | D.D.S. |
| Practice Address |
7101 Pines Rd Shreveport LA 71129-3403 |
| Practice Telephone | 3186862015 |
| Practice Fax Number | 3186862018 |
| Mailing Telephone | 3186862015 |
| Mailing Fax Number | 3186862018 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5769 | LA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019-025879 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1962701391 | Dana Lynn Jackson | Counselor | 2448 E. 81st Street, Suite 4824 / Citiplextowers, Tulsa, OK 74137-1814 | 2011-03-24 |
| 1043527310 | Dana Jackson | Speech-Language Pathologist | 219 Clarke Avenue, Staten Island, NY 10306-1115 | 2010-09-08 |
| 1922191915 | Dana C. Jackson | Dentist | 6710 Oxon Hill Rd, Suite #350, Oxon Hill, MD 20745-1121 | 2006-10-02 |
| 1174530638 | Dana Jackson | Physical Therapist | 2500 Cherry Ave Ste 203, Bremerton, WA 98310-4202 | 2006-08-01 |
| 1033740188 | Dana Marie Jackson | Social Worker | 186 E 1800 N Ste 1, North Logan, UT 84341-2245 | 2020-01-28 |
| 1235692112 | Dana A Jackson | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-09 |
| 1194209809 | Dana Unique Jackson | Home Health Aide | 3896 Swenson St, Las Vegas, NV 89119-7408 | 2018-09-18 |
| 1306330840 | Dana Andrea Jackson | Nurse Practitioner | 215 S Anderson St, Tullahoma, TN 37388-3735 | 2018-06-19 |
| Street Address |
7101 PINES RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070344 | Caroline King Haynie | Dentist | 7101 Pines Rd, Shreveport, LA 71129-3403 | 2010-08-17 |
| 1215084934 | Ronald Clayton Hermes | Dentist | 7101 Pines Rd, Shreveport, LA 71129-3403 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| Find all providers in zip 71129 | ||||
| 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 |
|---|---|---|---|---|
| 1194385203 | Carlee Gilley | Dentist | 8691 Line Ave, Shreveport, LA 71106-6148 | 2019-06-20 |
| 1780247197 | Patricia Ann Hostyn | Dentist | 7344 Capistrano Dr, Shreveport, LA 71105-5036 | 2019-04-22 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1891173449 | Miles for Smiles, LLC | Dentist | 610 Texas St, Shreveport, LA 71101-3554 | 2015-05-15 |
| 1902299233 | Brady H. Mosher | Dentist | 7251 Youree Dr, Shreveport, LA 71105 | 2015-03-11 |
| 1952710188 | Clayte Austin Fluke | Dentist | 1105 Island Park Blvd Apt 820, Shreveport, LA 71105-4772 | 2014-08-13 |
| 1467634451 | William L Mccolgan Jr. | Dentist | 9125 Mansfield Road, Shreveport, LA 71118 | 2007-11-30 |
| 1730372590 | Carole Suzanne Windham | Dentist | 6140 Line Ave, Shreveport, LA 71106-2051 | 2007-08-23 |
| 1316158207 | Charles R Mcinnis | Dentist | 8938 Kingston Road, Shreveport, LA 71118 | 2007-05-24 |
| 1346458304 | Lester Ewing | Dentist | 923 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-05-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
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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.