Dr. Jackie Berkowitz

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30014268 Issued in OH

Legal business name

DR. JACKIE BERKOWITZ

Practice address

955 N Hamilton Rd
Gahanna, OH 43230-1758

Phone

(614) 475-9800

Fax

(614) 475-4222

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jackie Berkowitz, MDNPI 1477569507

Title

Owner

Phone

(614) 475-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jackie Berkowitz, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gahanna, OH
  • NPI 1477569507
  NPD (past) Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1801224571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301758",
            "telephone_number": "614-475-9800",
            "fax_number": "614-475-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301758",
            "telephone_number": "614-475-9800",
            "fax_number": "614-475-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JACKIE BERKOWITZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-475-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30014268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "122384615051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L Dodge, CNM
• Mortimer Dolman, M.D.
• Lorna F Donovan, M.D.
• Dana Lee Douglas
• Dr Michael Drown PHD General & Consulting Psychology
• Dr. Surender Tippireddy DMD LLC
• Kathryn Dragt, DPT
• Timothy P Drankwalter, D.O.
• Annmarie Driscoll
• Michael Glenn Drown, PH.D., PSYCHOLOGIST

• Orthodontics and Dentofacial Orthopedics Dentistry in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.