Ann M Jackman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046514-1 Issued in NY

Practice address

708 Castleton Ave
Staten Island, NY 10310-1802

Phone

(718) 816-7246

Fax

(718) 816-6669

NPI assigned

Mar 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942324934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101802",
            "telephone_number": "718-816-7246",
            "fax_number": "718-816-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101802",
            "telephone_number": "718-816-7246",
            "fax_number": "718-816-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046514-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Jachniewicz, D.D.S
• Eve Jachniewicz, D.D.S
• Jack a. Mailman, DDS, Leonard I. Flug, DDS, P.C.
• Jack Basil Dangelo Jr
• Jack Miceli DDS PC
• Brandon Joshua Jackson, D.D.S
• Dana Jackson, M.S.
• Jill Jackson, LPN
• Keith Ryan Jackson, M.D.
• Kelly A Jackson, OTR/L

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.