Active NPI
Gabrielle Jackson, DDS
- Dentist
- Chapel Hill, NC
National Provider Identifier
1730632514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 151110
- Practice address
- Unc School of Dentistry
330 Brauer Hall Dept. of Graduate Prosthodontics
Chapel Hill, NC 27599-0001 - Phone
- (919) 537-3947
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 151110 | NC | Primary |
Addresses
Primary practice location
Unc School of Dentistry
330 Brauer Hall Dept. of Graduate Prosthodontics
Chapel Hill, NC 27599-0001
Mailing address
Unc School of Dentistry
330 Brauer Hall Dept. of Graduate Prosthodontics
Chapel Hill, NC 27599-0001
Phone (919) 537-3947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151110 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1730632514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNC SCHOOL OF DENTISTRY",
"address_2": "330 BRAUER HALL DEPT. OF GRADUATE PROSTHODONTICS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-537-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNC SCHOOL OF DENTISTRY",
"address_2": "330 BRAUER HALL DEPT. OF GRADUATE PROSTHODONTICS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-537-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "GABRIELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "151110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.