DR. JACKSON COCKLEY (NPI# 1487740114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487740114 |
| Entity Type | Individual |
| Full Name | DR. JACKSON COCKLEY |
| Credential | DDS |
| Practice Address |
1145 Aspira Ct Mansfield OH 44906-4125 |
| Practice Telephone | 4197747529 |
| Practice Fax Number | 4197747529 |
| Mailing Telephone | 4197747529 |
| Mailing Fax Number | 4197747529 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30021945 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2704818 | 05 |
| Street Address |
1145 ASPIRA CT |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811206675 | Cockley's Playtime Dental | Dentist | 1145 Aspira Ct, Mansfield, OH 44906-4125 | 2010-09-28 |
| 1619045952 | Aric Anthony Kuehner | Dentist | 1145 Aspira Ct, Mansfield, OH 44906-4125 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679014567 | Corey Menou | Dentist | 1830 E Broad St Ste 104, Mansfield, TX 76063-9161 | 2017-03-13 |
| 1518353184 | Elias E Chahine | Dentist | 1756 Broad Park Cir S #100, Mansfield, TX 76063 | 2015-04-10 |
| 1508133224 | Pediatric Dentristry of Mansfield,pllc | Dentist | 1830 E Broad St, Ste104, Mansfield, TX 76063-9162 | 2011-11-23 |
| 1396901922 | Daniel E Wright | Dentist | 1830 E. Broad St., Suite 104, Mansfield, TX 76063-2874 | 2008-08-04 |
| 1811106909 | Heather Ann Gregg | Dentist | 245 Sterkle Blvd, Suite 101, Mansfield, OH 44907 | 2007-05-22 |
| 1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
| 1699853051 | Timothy J Iten | Dentist | 1 Marion Ave Ste 201, Mansfield, OH 44903-7905 | 2006-11-02 |
| 1356328041 | Randolph W Hamilton IIi | Dentist | 1759 Broad Park Cir S, Mansfield, TX 76063 | 2005-12-23 |
| 1285921825 | Blane Reynolds Hamilton | Dentist | 1759 Broad Park Cir S, Ste 205, Mansfield, TX 76063-7833 | 2011-07-04 |
| 1669779328 | Hyde,bailey,miller-south Partnership | Dentist | 2300 Matlock Rd, Suite 28, Mansfield, TX 76063-5019 | 2011-02-16 |
| Find all providers in MANSFIELD | ||||
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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.