Tomicka Jackson-George

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13287 Issued in MD

Practice address

22329 Greenview Pkwy
Great Mills, MD 20634-3491

Phone

(301) 870-4553

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902932809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S POTOMAC ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242250",
            "telephone_number": "301-870-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22329 GREENVIEW PKWY",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206343491",
            "telephone_number": "301-870-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-GEORGE",
        "first_name": "TOMICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas H Hallgren, D.P.M.
• Harold T Rowson , Inc
• Rabab Hasan, DDS
• David Robert Hatch
• Innerworksinc
• Pankaj Kumar
• Troy Mendenhall
• Neibauer Dental Care, PC (Great Mills Family Dental)
• Outreach Recovery II
• Alexis Parris

• General Practice Dentistry in Great Mills, MD
• Providers in Great Mills, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.