Organization Active NPI

Jackson Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, NJ
National Provider Identifier
1841078466
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JACKSON ORTHODONTICS LLC
Practice address
186 W Veterans Hwy
Jackson, NJ 08527-3410
Phone
(732) 942-8400
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Eric SegallNPI 1265646418
Title
Member/Doctor
Phone
(732) 942-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

186 W Veterans Hwy
Jackson, NJ 08527-3410

Mailing address

186 W Veterans Hwy
Jackson, NJ 08527-3410
Phone (732) 942-8400

National Provider Directory

National Provider Directory

Locations

186 W Veterans Hwy
Jackson, NJ 08527
Phone (732) 942-8400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1841078466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 W VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273410",
            "telephone_number": "732-942-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273410",
            "telephone_number": "732-942-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER/DOCTOR",
        "authorized_official_telephone_number": "732-942-8400"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.