NPIMap

Organization Active NPI

Martin Jackson DPM PSC

  • Foot Surgery Podiatrist
  • Rowlett, TX
National Provider Identifier
1548564305
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1239 Issued in TX
Legal business name
MARTIN JACKSON DPM PSC
Practice address
9300 Lakeview Pkwy
Rowlett, TX 75088-4476
Phone
(972) 475-4700
Fax
(972) 412-2122
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Martin N Jackson, DPM
Title
Physician
Phone
(972) 270-7627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1239 TX Primary

Addresses

Primary practice location

9300 Lakeview Pkwy
Rowlett, TX 75088-4476

Mailing address

1675 Republic Pkwy
Ste. 101
Mesquite, TX 75150-6903
Phone (972) 270-7627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1548564305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY",
            "address_2": "STE. 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506903",
            "telephone_number": "972-270-7627",
            "fax_number": "972-270-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884476",
            "telephone_number": "972-475-4700",
            "fax_number": "972-412-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN JACKSON DPM PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-270-7627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.