NPIMap

Organization Active NPI

Richard F. Jackson, DDS, Gregory Heise, DDS, and Craig Alpha, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1689762569
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
24465 Issued in CA
Legal business name
RICHARD F. JACKSON, DDS, GREGORY HEISE, DDS, AND CRAIG ALPHA, DDS
Practice address
2525 K St
Suite 101
Sacramento, CA 95816-5114
Phone
(916) 442-1882
Fax
(091) 644-2303
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Mrs. Margaret Jackson
Title
Office Administrator
Phone
(916) 961-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 24465 CA Primary

Addresses

Primary practice location

2525 K St
Suite 101
Sacramento, CA 95816-5114

Mailing address

2525 K St
Suite 101
Sacramento, CA 95816-5114
Phone (916) 442-1882

Other names 1

  • Richard F. Jackson, DDS, Gregory Heise, DDS, and Craig Alpha, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

2525 K St
Ste 101
Sacramento, CA 95816
Phone (916) 442-1882

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1689762569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 K ST",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882",
            "fax_number": "091-644-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 K ST",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882",
            "fax_number": "091-644-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. JACKSON, DDS, GREGORY HEISE, DDS, AND CRAIG ALPHA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-961-0570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "24465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard F. Jackson, DDS, Gregory Heise, DDS, and Craig Alpha, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.