DR. DAVID KEITH JACKSON II (NPI# 1992346597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992346597 |
| Entity Type | Individual |
| Full Name | DR. DAVID KEITH JACKSON II |
| Credential | DMD |
| Practice Address |
19871 Mitscher Way San Diego CA 92145-5103 |
| Mailing Address |
1120 Lochwood Pl Escondido CA 92026-4044 |
| Practice Telephone | 8585771825 |
| Mailing Telephone | 8585310829 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS104164 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
19871 MITSCHER WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92145-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324430 | Traci Lynn Lowry | Dental Hygienist | 19871 Mitscher Way, Branch Dental Clinic Miramar, San Diego, CA 92145-5103 | 2005-08-23 |
| 1649558511 | Caleb Noordmans | Dentist | 19871 Mitscher Way, San Diego, CA 92145-5103 | 2011-07-26 |
| 1932170271 | David Trowbridge | General Practice | 19871 Mitscher Way, San Diego, CA 92145 | 2006-01-26 |
| 1720071160 | Karen Marie Lynch | Dentist | 19871 Mitscher Way, Building 2495, San Diego, CA 92145-5103 | 2005-08-30 |
| 1881687325 | Steven D. Nytko | Dentist | 19871 Mitscher Way, Bdc Miramar - Bldg. 2495, Mcas Miramar, San Diego, CA 92145-5103 | 2005-08-30 |
| 1366435141 | Matthew Brian Chesler | Dentist | 19871 Mitscher Way, Mcas Miramar, San Diego, CA 92415 | 2005-08-26 |
| 1588657613 | Elsa Bettina Dembinski | Dentist | 19871 Mitscher Way, #2495, San Diego, CA 92145-5103 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1558500090 | Sean Patrick Overlie | Military Health Care Provider | 2496 Bauer Rd., Bmc Mcas Miramar, San Diego, CA 92145 | 2009-02-06 |
| 1053584540 | Craig Charles Rosario | Military Health Care Provider | Mcas Bmc Miramar, Bldg 2496, Bauer Rd., San Diego, CA 92145 | 2008-04-07 |
| 1710026059 | Breanne Williams Reid | Dentist | 19871 Mitcher Way, San Diego, CA 92145 | 2007-02-05 |
| 1821143165 | Enrico L Sarmiento | Physician Assistant | Bldg 2496 Bauer Rd, Bmc Miramar, San Diego, CA 92145 | 2007-01-25 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1407939408 | Frank J Bogni IIi | General Practice | Branch Medical Clinic Mcas Miramar, Apo, AA 92145 | 2006-10-23 |
| 1578531687 | Amber Nicole Floyd | Military Health Care Provider | Branch Medical Clinic Miramar, 2496 Mitchner Wy, San Diego, CA 92145 | 2006-03-14 |
| 1811964844 | Armando Gonzalez | Military Health Care Provider | Macg-38 Medical, San Diego, CA 92145 | 2006-03-08 |
| 1093787244 | Denise Elizabeth Coyle | Family Medicine | Miramar Family Practice, Mcas Miramar, San Diego, CA 92145 | 2006-02-02 |
| Find all providers in zip 92145 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.