Elbert E Jackson, DDS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS2474 Issued in TN

Legal business name

ELBERT E JACKSON, DDS, PC

Practice address

200 Gleaves St
Suite C
Madison, TN 37115-2154

Phone

(615) 859-1881

Fax

(615) 865-7723

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elbert E Jackson, DDSNPI 1356419055

Title

Owner

Phone

(615) 859-1881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elbert E Jackson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, TN
  • NPI 1356419055
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871652172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLEAVES ST",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152154",
            "telephone_number": "615-859-1881",
            "fax_number": "615-865-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLEAVES ST",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152154",
            "telephone_number": "615-859-1881",
            "fax_number": "615-865-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT E JACKSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ELBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-859-1881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS2474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Lee Eddings Sr., FNP-C, PMHNP-BC
• Michael W Edge, DDS
• Hillary Edwards
• Isaac Eh
• Donnie L Eidson
• Riley William Mattila Elder
• Erica Faye Eldridge, CPHT
• Elite Ultrasound Imaging, LLC
• Ellenbecker and Borsellino PLLC (Talk to Me Speech Therapy TN)
• Angie Dawn Ellenbecker, SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.