Dr. David E. Jackson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

138455-9922 Issued in UT

Legal business name

DR. DAVID E. JACKSON DDS PC

Practice address

870 E 9400 S
Suite #110
Sandy, UT 84094-3666

Phone

(801) 571-8391

Fax

(801) 571-8285

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Karen Jackson

Title

Office Manager

Phone

(801) 571-8391

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Edward Jackson, DDS

  • Dentist
  • Sandy, UT
  • NPI 1750331773
  NPD (past)
• Devin T Matsumori, DDS

  • Dentist
  • Sandy, UT
  • NPI 1225327281

  General Practice

  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1881908622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 E 9400 S",
            "address_2": "SUITE #110",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943666",
            "telephone_number": "801-571-8391",
            "fax_number": "801-571-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E 9400 S",
            "address_2": "SUITE #110",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943666",
            "telephone_number": "801-571-8391",
            "fax_number": "801-571-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID E. JACKSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-571-8391"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "138455-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Dowdle, D.M.D
• Haleigh Nicole Downing Samayoa, FNP-C
• Kacie Doyle-Delgado, FNP-C
• Pamela Doyle
• Dr. Courtney Sivertson, P.C.
• Dr. Jeffrey a Iverson
• Dream River Counseling LLC
• Marc Drebing, APC
• Anita Dromey, SLP
• David W Drury, MD

• General Practice Dentistry in Sandy, UT
• Providers in Sandy, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.