Noel William Jackson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012191 Issued in MI

Practice address

254 West Rd
Trenton, MI 48183-2916

Phone

(734) 671-2273

Fax

(734) 671-0649

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Snider Parker Dentistry, PLLC

  • General Practice Dentistry
  • Trenton, MI
  • NPI 1427124288
  Authorized official Same address or phone
• Noel W. Jackson D.D.S., P.C.

  dba Dr. Noel W. Jackson

  • General Practice Dentistry
  • Trenton, MI
  • NPI 1720147820
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832916",
            "telephone_number": "734-671-2273",
            "fax_number": "734-671-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832916",
            "telephone_number": "734-671-2273",
            "fax_number": "734-671-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NOEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironwood Psychotherapy Services PLLC
• Majdee Irziqat, MD
• Max Asa Izbicki, D.O.
• Jacbre Inc. (Comfort Keepers 738)
• Jackson Snider Parker Dentistry, PLLC
• Tracie Jager, M.T.
• Elizabeth Jamros, LMSW
• Jaime Janiec, LPC
• Ashley Rae Jankowski
• Pravalika Jarugula, DO

• General Practice Dentistry in Trenton, MI
• Providers in Trenton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.