Active NPI
Thomas W Jackson, DS026194L
- Dentist
- Pittsburgh, PA
National Provider Identifier
1851628549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS026194L
- Practice address
- 8160 Perry Hwy
Pittsburgh, PA 15237-5214 - Phone
- (412) 367-2250
- NPI assigned
- Nov 17, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS026194L | PA | Primary |
Addresses
Primary practice location
8160 Perry Hwy
Pittsburgh, PA 15237-5214
Mailing address
2250 Mary St
308
Pittsburgh, PA 15203-2280
Phone (412) 367-2250
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 |
|---|---|---|---|
| DS026194L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Kids, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Harrison City, PA
- NPI 1588701981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1851628549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 MARY ST",
"address_2": "308",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032280",
"telephone_number": "412-367-2250",
"fax_number": "412-367-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 PERRY HWY",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375214",
"telephone_number": "412-367-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DS026194L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS026194L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.