A M Jackson & Associates DDS Ms PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

A M JACKSON & ASSOCIATES DDS MS PLLC

Doing business as

University Orthodontics

Practice address

8430 University Exec Park Dr Ste 605
Charlotte, NC 28262-1353

Phone

(704) 549-1926

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kati Randisi

Title

Business Manager

Phone

(704) 549-1926

Specialties & licenses 1

Addresses

Other names 1

• University Orthodontics Doing business as

Locations

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.

• David E. Paquette, DDS,MS,MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
  • NPI 1811181035
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1710461520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR STE 605",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621353",
            "telephone_number": "704-549-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR STE 605",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621353",
            "telephone_number": "704-549-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A M JACKSON & ASSOCIATES DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "RANDISI",
        "authorized_official_first_name": "KATI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-549-1926"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.