SCOTT JACKS, DDS, INC (NPI# 1588703458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588703458 |
| Entity Type | Organization |
| Organization Name | SCOTT JACKS, DDS, INC |
| Other Organization Name | CHILDREN'S DENTAL GROUP |
| Practice Address |
2156 E Lincoln Ave Anaheim CA 92806-4104 |
| Practice Telephone | 7143993140 |
| Practice Fax Number | 3232497565 |
| Mailing Telephone | 7143993140 |
| Mailing Fax Number | 3232497565 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | DR. JERRY DAVID MINSKY (OWNER) |
| Authorized Official Telephone | 3235642444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
31668 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
31668 | CA | Dental Providers |
| Y | 122300000X | Dentist | 31668 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| CHILDREN'S DENTAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336542851 | Scott Jacks, Dds, Inc | Dentist | 4138 Maine Ave Ste M2, Baldwin Park, CA 91706-3302 | 2014-09-29 |
| 1780982074 | Scott Jacks, Dds, Inc | Dentist | 897 E El Camino Real, Sunnyvale, CA 94087-2937 | 2011-03-10 |
| 1609041482 | Scott Jacks, Dds, Inc | Dentist | 1153 S King Rd, San Jose, CA 95122-2144 | 2008-04-23 |
| 1194928614 | Scott Jacks, Dds, Inc | Dentist | 4354 Tweedy Blvd, South Gate, CA 90280-6237 | 2007-06-11 |
| 1043414576 | Scott Jacks, Dds, Inc | Dentist | 20700 Avalon Blvd, Suite 600, Carson, CA 90746-3701 | 2007-06-11 |
| 1497961858 | Scott Jacks, Dds, Inc | Dentist | 2700 Colorado Blvd Ste 263, Los Angeles, CA 90041-1048 | 2007-05-15 |
| 1871632745 | Scott Jacks, Dds, Inc | Dentist | 2144 S Bristol St, Santa Ana, CA 92704-5123 | 2007-02-06 |
| Street Address |
2156 E LINCOLN AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962549766 | James Cho | Dentist | 2156 E Lincoln Ave, Anaheim, CA 92806-4104 | 2007-01-31 |
| 1427562594 | Sorour D.m.d Corporation | Dentist | 2156 E Lincoln Ave, Anaheim, CA 92806-4104 | 2017-11-27 |
| 1487886594 | Trinh T Pham | Dentist | 2156 E Lincoln Ave, Anaheim, CA 92806-4104 | 2009-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| 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 |
|---|---|---|---|---|
| 1275189631 | Paulina Saraza | Dentist | 8009 E Snowberry Ln, Anaheim, CA 92808-1945 | 2019-08-12 |
| 1003379264 | Shirley T Lee and Associates A Dental Corp | Dentist | 5475 E La Palma Ave Ste 200, Anaheim, CA 92807-2075 | 2019-04-12 |
| 1306323324 | Priscilla Andressa Cury Rosa | Dentist | 2835 W Lincoln Ave, Anaheim, CA 92801-6212 | 2018-07-23 |
| 1801320775 | Kw Youn Dds Dental Corporation | Dentist | 1134 N State College Blvd, Suite C, Anaheim, CA 92806-2771 | 2017-04-17 |
| 1093253981 | Linda A Torres D.d.s. Inc | Dentist | 3246 W Lincoln Ave, Anaheim, CA 92801-6007 | 2017-02-10 |
| 1235688821 | Eman Mikhail D.d.s. Dental Corp | Dentist | 5675 E La Palma Ave, Anaheim, CA 92807-2107 | 2016-09-24 |
| 1922452309 | Royal Smile Center | Dentist | 1715 W Romneya Dr, Anaheim, CA 92801-1804 | 2016-04-21 |
| 1669833505 | Consumerhealth, Inc. | Dentist | 150 N State College Blvd, Anaheim, CA 92806-2909 | 2016-03-18 |
| 1801255773 | Mohammad Rahnamay Naeini | Dentist | 7989 E Viewrim Dr, Anaheim, CA 92808-2135 | 2016-02-19 |
| 1932565918 | Tran and Vu Dental Corporation | Dentist | 10425 Magnolia Ave, Anaheim, CA 92804-5113 | 2016-01-07 |
| Find all providers in ANAHEIM | ||||
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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.