NPIMap

Organization Active NPI

Marcus K. Jackson, DDS, a Professional Dental Corporation

  • Dentist
  • Metairie, LA
National Provider Identifier
1346544178
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARCUS K. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
8847 Veterans Memorial Blvd Ste 8
Metairie, LA 70003-7707
Phone
(504) 466-2392
Fax
(504) 466-2399
NPI assigned
Jan 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Authorized official

Name
Marcus Jackson, DDS
Title
Owner
Phone
(504) 466-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8847 Veterans Memorial Blvd Ste 8
Metairie, LA 70003-7707

Mailing address

8847 Veterans Memorial Blvd Ste 8
Metairie, LA 70003-7707
Phone (504) 466-2392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1346544178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 VETERANS MEMORIAL BLVD STE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700037707",
            "telephone_number": "504-466-2392",
            "fax_number": "504-466-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 VETERANS MEMORIAL BLVD STE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700037707",
            "telephone_number": "504-466-2392",
            "fax_number": "504-466-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS K. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-466-2392",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; 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.