Velma H Jackson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2537 Issued in LA

Practice address

4343 North Blvd
Baton Rouge, LA 70806-3916

Phone

(225) 343-3459

Fax

(225) 344-7755

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821216573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063916",
            "telephone_number": "225-343-3459",
            "fax_number": "225-344-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063916",
            "telephone_number": "225-343-3459",
            "fax_number": "225-344-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VELMA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1825379",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Whitley Jackson, PHARMD
• Thad Jackson
• Tracie Lashelle Jackson, P.T., DPT
• Trinette Amelia Jackson, RN,BSN
• Tyesha Nicole Jackson
• Jacob Dent, DDS. Baton Rouge Modern Dentistry, a Professional Corp (Baton Rouge Dental Dentistry)
• Jacob Francis Henderson DDS LLC (Central Dental Care)
• Jacob M. Estes, M.D., LLC
• Alan Jacob
• Elva Jacobs

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.