Richard L. Jackson, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

17359 Issued in OH

Legal business name

RICHARD L. JACKSON, D.D.S., INC.

Practice address

3650 Erie Ave
Cincinnati, OH 45208-1928

Phone

(513) 321-3037

Fax

(513) 321-2071

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard L. Jackson, D.D.S.NPI 1972626422

Title

Owner / President

Phone

(513) 321-3037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard L. Jackson, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1972626422
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003862913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081928",
            "telephone_number": "513-321-3037",
            "fax_number": "513-321-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081928",
            "telephone_number": "513-321-3037",
            "fax_number": "513-321-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. JACKSON, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "513-321-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "17359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Rich
• Richard a. Devore, LLC
• Richard Baudendistel Dentistry
• Richard H Skurow MD, Inc.
• Richard J. Brown D.P.M.
• Jennifer Blair Richard, M.D.
• Autumn Richards
• Brendan M Richards
• Christopher T Richards, MD
• Dayna Lynn Richards, AU.D.

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.