Marcus K. Jackson, DDS, a Professional Dental Corporation

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

Last updated

Jan 9, 2011By 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

Marcus Jackson, DDSNPI 1811044845

Title

Owner

Phone

(504) 466-2392

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus Jackson, DDS

  • General Practice Dentistry
  • Metairie, LA
  • NPI 1811044845
  Authorized official Same address or phone

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": []
}

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• Margot Beerman DDS LLC (Magnolia Modern Dentistry)
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• Michael Mariana II
• Marillac Community Health Centers (DePaul Community Health Centers)
• Marillac Community Health Centers (Daughters of Charity Health Center-Metairie)

• Dentist in Metairie, LA
• Providers in Metairie, LA by specialty
• Dentist in Louisiana

• 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.