DR. JONATHAN BRIAN JACKSON (NPI# 1659659621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659659621 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRIAN JACKSON |
| Credential | DDS |
| Practice Address |
422 1/2 Violet Ave Monrovia CA 91016-6731 |
| Practice Telephone | 9515518686 |
| Mailing Telephone | 9515518686 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60538 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1295354660 | Jonathan Jackson | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2020-04-15 |
| 1033772603 | Jonathan William Jackson | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-04-18 |
| 1790029171 | Jonathan Levi Jackson | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-11-26 |
| 1164713467 | Jonathan Jackson | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2011-04-21 |
| 1205158730 | Jonathan L Jackson | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2010-02-25 |
| 1295062792 | Jonathan Mark Jackson | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2009-11-05 |
| 1891954566 | Jonathan D Jackson | Dentist | 335 E 400 S, Springville, UT 84663-1959 | 2008-06-06 |
| 1629273735 | Jonathan Wesley Jackson | Nurse Anesthetist, Certified Registered | 500 Lauchwood Drive, Laurinburg, NC 28352-5501 | 2007-06-19 |
| 1467577700 | Jonathan M Jackson | Psychologist | 140 Riverside Drive, 1r, New York, NY 10024 | 2007-03-19 |
| Street Address |
422 1/2 VIOLET AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-6731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| 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 |
|---|---|---|---|---|
| 1558755017 | Joonho Song Dds LLC | Dentist | 11801 Fingerboard Rd Ste 7, Monrovia, MD 21770-9030 | 2015-03-23 |
| 1093096273 | Bhatia and Shetty Dental Corporation | Dentist | 460 W Huntington Dr, Monrovia, CA 91016-3202 | 2011-09-01 |
| 1154588812 | Thomas P. Redican | Dentist | 686 W Foothill Blvd, Monrovia, CA 91016-2024 | 2008-05-20 |
| 1982764742 | Philip Michael Schreiber | Dentist | 11801 Fingerboard Rd, #7, Monrovia, MD 21770-9030 | 2006-12-11 |
| 1780761122 | Charlyn Quiec | Dentist | 139 E Colorado Blvd, Suite 1, Monrovia, CA 91016-2803 | 2006-11-01 |
| 1508965245 | Andrew Michael Benedetto | Dentist | 858 W Foothill Blvd, Suite D, Monrovia, CA 91016-1955 | 2006-09-21 |
| 1881135721 | Sofia Uraizee | Dentist | 460 W Huntington Dr, Monrovia, CA 91016-3202 | 2017-03-11 |
| 1891066262 | Dao Refela Dental Partnership | Dentist | 831 E Huntington Dr, Ste 201, Monrovia, CA 91016-3612 | 2012-01-18 |
| 1801016944 | Lan Bich Dao | Dentist | 831 E Huntington Dr, Ste 201, Monrovia, CA 91016-3612 | 2007-04-30 |
| 1255453015 | Stephen Lynn Schroeder | Dentist | 11801 Fingerboard Rd, Suite #14 Lower Level, Monrovia, MD 21770-9030 | 2007-04-04 |
| Find all providers in MONROVIA | ||||
Please comment or provide details below to improve the information on DR. JONATHAN BRIAN JACKSON.
| 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.