Jeffrey Robert Jockers, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025420L Issued in PA

Practice address

1439 Coraopolis Heights Rd
Moon Township, PA 15108-2958

Phone

(412) 264-1221

NPI assigned

Oct 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215027040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 CORAOPOLIS HEIGHTS RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082958",
            "telephone_number": "412-264-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 CORAOPOLIS HEIGHTS RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082958",
            "telephone_number": "412-264-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCKERS",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025420L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PPO  NUM",
            "identifier": "481612",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iannessa Pediatric Dentistry, P.C.
• Christina Lynn Iannessa, D.M.D.
• Ira JK Cohen MD PC
• James K. Smith, MD, PC
• Melissa M Jaszcar, PHARMD
• James Jones, DPT
• Terry Curtis Jones, DC
• Joseph D Udvari OD PC
• Joseph Goth LLC
• Marissa J Joseph

• General Practice Dentistry in Moon Township, PA
• Providers in Moon Township, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.