Jackson Med Techs

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

JACKSON MED TECHS

Practice address

2080 Dunbarton Dr
Suite C
Jackson, MS 39216-5016

Phone

(601) 624-1318

NPI assigned

Aug 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elton A. Dean Jr.

Title

Owner

Phone

(601) 624-1318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063525525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320531",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320531",
            "telephone_number": "601-362-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 DUNBARTON DR",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165016",
            "telephone_number": "601-624-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MED TECHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-624-1318",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Delilah J Jackson Moore, LICENSED COUNSELOR
• Jackson Ms Homecare (Visiting Angels Jackson)
• Jackson Neurocare, PLLC
• Jackson Neurology Associates

• Public Health or Welfare Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Public Health or Welfare Agency in Mississippi

• 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.