Jessie Elizabeth Isaacs, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15937 Issued in MD

Practice address

4301 Ebenezer Rd
Nottingham, MD 21236-2143

Phone

(410) 466-4319

NPI assigned

May 13, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1225416068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-466-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-466-4319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Gough St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212312616",
            "country_code": "US",
            "telephone_number": "443-928-9937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "JESSIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "15937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Ikein
• Esweni Ikein, LCPC
• Felicisimo Infante
• Daiane Souza Ingold
• Jerald Insel, M.D.
• Meaghan Isaacs, SLP
• Kira Isbert
• Paula Joy Ison, PMHNP-BC
• Asia K Jackson, LCPC
• Moriah M Jackson

• Orthodontics and Dentofacial Orthopedics Dentistry in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.