Organization Active NPI

James D. Jackson DDS PC

  • Dental Clinic/Center
  • Marquette, MI
National Provider Identifier
1588133441
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMES D. JACKSON DDS PC
Practice address
101 S Front St Ste 201
Marquette, MI 49855-4641
Phone
(906) 228-9070
Fax
(906) 356-3400
NPI assigned
Nov 20, 2018
Last updated
Nov 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Penelope J Honey
Title
Office Manager
Phone
(906) 228-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

101 S Front St Ste 201
Marquette, MI 49855-4641

Mailing address

101 S Front St Ste 201
Marquette, MI 49855-4641
Phone (906) 228-9070

Other identifiers 1

IdentifierTypeStateIssuer
1568517944OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

101 S Front St
Ste 201
Marquette, MI 49855
Phone (906) 228-9070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1588133441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 201",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554641",
            "telephone_number": "906-228-9070",
            "fax_number": "906-356-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 201",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554641",
            "telephone_number": "906-228-9070",
            "fax_number": "906-356-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. JACKSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "HONEY",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "906-228-9070"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568517944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.