MARTIN NORMAN JACKSON (NPI# 1730114430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730114430 |
| Entity Type | Individual |
| Full Name | MARTIN NORMAN JACKSON |
| Credential | DPM |
| Practice Address |
17309 Stedman Cir Dallas TX 75252-5741 |
| Mailing Address |
Po Box 797512 Dallas TX 75379-7512 |
| Practice Telephone | 9722707627 |
| Practice Fax Number | 9722707759 |
| Mailing Telephone | 2144788483 |
| Mailing Fax Number | 9722707759 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1239 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 018775901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023319985 | Martin Jackson Sr. | Counselor | 3 Barnard Ln, Suite 112, Bloomfield, CT 06002-2452 | 2010-11-09 |
| Street Address |
17309 STEDMAN CIR |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972959161 | Darlene Dao Carter | Podiatrist | 5925 Forest Ln Ste 121, Dallas, TX 75230-6101 | 2016-05-06 |
| 1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
| 1942522503 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1151 N Buckner Blvd Ste 201, Dallas, TX 75218-3400 | 2010-02-24 |
| 1245389493 | Scott J Ashton | Podiatrist | 11613 N Central Expy, # 121, Dallas, TX 75243-3820 | 2007-01-09 |
| 1821147091 | Roy W Ashton | Podiatrist | 11613 N Central Expy Ste 121, Dallas, TX 75243-3842 | 2007-01-09 |
| 1457311284 | Richard Conrad Galperin | Podiatrist | 801 N Zang Blvd Ste 103, Dallas, TX 75208-4858 | 2006-03-24 |
| 1578566238 | Richard H Weiner | Podiatrist | 4523 W Lovers Ln, Dallas, TX 75209-3131 | 2005-05-24 |
| 1215256235 | Helen D Gipson Dpm PC | Podiatrist | 5787 S Hampton Rd, 296, Dallas, TX 75232-2255 | 2010-06-01 |
| 1699098483 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 801 N Zang Blvd, Suite 103, Dallas, TX 75208-4260 | 2010-03-08 |
| 1366764888 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7777 Forest Ln Ste C435, Dallas, TX 75230-6842 | 2010-02-25 |
| Find all providers in DALLAS | ||||
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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.