Lindsey Dawn Jackson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3999 Issued in NH

Practice address

22 Exchange St
Gorham, NH 03581-1604

Phone

(603) 466-5015

NPI assigned

Jul 2, 2012

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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.

• Paul C Schoenbeck, DMD., PA

  dba North Country Dental

  • General Practice Dentistry
  • Gorham, NH
  • NPI 1912994617
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1144584319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EXCHANGE ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035811604",
            "telephone_number": "603-466-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 EXCHANGE ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035811604",
            "telephone_number": "603-466-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LINDSEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3999",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Hamilton, D.M.D.
• Samuel Glenn Hanna, DC
• Mark William Hartzler, DMD
• Tung Hoang
• Tina Marie Holmes, CRSW
• Keene Medical Products, LLC
• Donald Kernan, MD
• Douglas E Knee, O.D.
• Julie Kaye Limmer, APRN
• Matthew Thomas Marallo, PT

• Dentist in Gorham, NH
• Providers in Gorham, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.