Jack I. Lipton, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4375 Issued in AZ

Practice address

1754 S Fort Apache Rd # 1
Camp Verde, AZ 86322-6909

Phone

(480) 329-6684

NPI assigned

Jun 28, 2006

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Jack I Lipton Professional name

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1841228137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 S FORT APACHE RD # 1",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226909",
            "telephone_number": "480-329-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 S FORT APACHE RD # 1",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226909",
            "telephone_number": "480-329-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTON",
        "first_name": "JACK",
        "middle_name": "I.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60861",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "60861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "LIPTON",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tarek Ziad Kaakani, D.M.D.
• Francina Karulak
• Shawn Kinney, DMD
• Jerilyn Klingenberg, A.T.R.
• Anjaneyulu Kosaraju, MD
• M. E. Emshwiller DMD P.C.
• Susan M Malloy, PHARMD
• Kadeen Mansor, PT
• Marcy Sedona Services, Inc
• Jane Mathews, M.A. ED.

• General Practice Dentistry in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.