Jackson DMD & Sayre DMD, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JACKSON DMD & SAYRE DMD, PLLC

Practice address

76 Peachtree Rd Ste 100
Asheville, NC 28803-5041

Phone

(828) 277-6788

Fax

(828) 277-6798

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Carrie Ann Dutcher

Title

Administrative Assistant

Phone

(828) 277-6788

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Asheville Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Cheek Jackson, DMD

  • Pediatric Dentistry
  • Asheville, NC
  • NPI 1710004403
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1396406567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035041",
            "telephone_number": "828-277-6788",
            "fax_number": "828-277-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035041",
            "telephone_number": "828-277-6788",
            "fax_number": "828-277-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON DMD & SAYRE DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "DUTCHER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "828-277-6788"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063601995",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306922703",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710004403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac L Jaben, MD
• Peter William Jaber, MD
• Abigail Jacaruso
• Christina Fay Jack, MD
• Jackie Sullivan Counseling, PLLC
• Olivia Jackson-Jordan
• Amanda Sue Jackson
• Chazeray Monteya Jackson, PTA
• Deven Jackson
• Eileen Marie Jackson, CADC, CPSS, BS

• Pediatric Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.