NPIMap

Organization Active NPI

Dr. Daniel Dewey Jackson DDS

  • General Practice Dentistry
  • Ashland, OR
National Provider Identifier
1881813798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4836 Issued in OR
Legal business name
DR. DANIEL DEWEY JACKSON DDS
Practice address
277 5TH St
Ashland, OR 97520-2058
Phone
(541) 482-1744
Fax
(541) 482-4128
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Marie Glenn
Title
Front Office Coordinator
Phone
(541) 482-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D4836 OR Primary

Addresses

Primary practice location

277 5TH St
Ashland, OR 97520-2058

Mailing address

277 5TH St
Ashland, OR 97520-2058
Phone (541) 482-1744

National Provider Directory

National Provider Directory

Locations

277 5th St
Ashland, OR 97520
Phone (541) 482-1744

Practitioners & affiliated clinicians

Practitioners 4

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881813798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744",
            "fax_number": "541-482-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744",
            "fax_number": "541-482-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANIEL DEWEY JACKSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FRONT OFFICE COORDINATOR",
        "authorized_official_telephone_number": "541-482-1744"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • 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.