Jon Paul Jacquet, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI02401800 Issued in NJ

Practice address

24 E Pine St
Millville, NJ 08332-3836

Phone

(856) 825-4259

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jon Paul Jacquet DDS, LLC

  dba Jacquet Family Dentistry

  • Dental Clinic/Center
  • Millville, NJ
  • NPI 1982461869
  NPD Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1043459514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHERMAN AVE",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323521",
            "telephone_number": "323-641-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E PINE ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323836",
            "telephone_number": "856-825-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUET",
        "first_name": "JON PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02401800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Care Optical Center Inc
• Yolanda Isom, RN
• J&L Transportation Service
• Jac Medi Transport LLC
• Stephen Charles Jackson, D.C.
• Erum Jamil, MD
• David Laning Jespersen, DPM
• Tia L Johnson
• Jon Paul Jacquet DDS, LLC (Jacquet Family Dentistry)
• Jameka Rashay Jones

• General Practice Dentistry in Millville, NJ
• Providers in Millville, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.