Active NPI
John Jackson, DMD
- Prosthodontics
- Saddle River, NJ
National Provider Identifier
1851541601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DI16549
- Practice address
- 82 E Allendale Rd
Suite 1B
Saddle River, NJ 07458-3057 - Phone
- (201) 760-0994
- Fax
- (201) 760-0996
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DI16549 | NJ | Primary |
Addresses
Primary practice location
82 E Allendale Rd
Suite 1B
Saddle River, NJ 07458-3057
Mailing address
82 E Allendale Rd
Suite 1B
Saddle River, NJ 07458-3057
Phone (201) 760-0994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI16549 | NJ | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oralfacial Esthetics Dentistry, LLC | Prosthodontics | Past | Accepting new patients |
| Oralfacial Esthetics, P.a. | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Saddle River, NJ
- NPI 1861831083
-
- Prosthodontics
- Saddle River, NJ
- NPI 1013167873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1851541601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 E ALLENDALE RD",
"address_2": "SUITE 1B",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583057",
"telephone_number": "201-760-0994",
"fax_number": "201-760-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 E ALLENDALE RD",
"address_2": "SUITE 1B",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583057",
"telephone_number": "201-760-0994",
"fax_number": "201-760-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "DI16549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.