Joseph C. Jackson, Jr., DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN5413 Issued in FL

Legal business name

JOSEPH C. JACKSON, JR., DDS, PA

Practice address

8250 Bryan Dairy Rd
#325
Largo, FL 33777-1353

Phone

(727) 397-0353

Fax

(727) 397-5773

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph C. Jackson Jr., DDSNPI 1801918602

Title

Orthodontist

Phone

(727) 397-0353

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jackson Orthodontics Doing business as

Practitioners 1

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

• Joseph C Jackson Jr., DDS,PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Petersburg, FL
  • NPI 1801918602
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710109756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD",
            "address_2": "#325",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771353",
            "telephone_number": "727-397-0353",
            "fax_number": "727-397-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD",
            "address_2": "#325",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771353",
            "telephone_number": "727-397-0353",
            "fax_number": "727-397-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C. JACKSON, JR., DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "727-397-0353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN5413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN5413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shameka Jones, PHARM.D.
• Stacy Ann Jordan, D.O.
• Timothy Michael Jordan, D.O.
• Michele A Jorgenson, MD
• Jose a. Perez-Arce, MD
• Karen Cherian Joseph, M.D.
• Sophia Joseph, APRN
• Dubravka Jovanovic, M.D.
• Tyrone Joy, DPT
• Lynette K Jubay, PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.