Organization Active NPI

Dr Lorin Eric Jackrel, DMD, PC

Doing business as Dr Eric Jackrel, DMD, PC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1972061364
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR LORIN ERIC JACKREL, DMD, PC
Doing business as
Dr Eric Jackrel, DMD, PC
Practice address
2150 S Dobson Rd Ste 2
Mesa, AZ 85202-6487
Phone
(480) 897-2888
Fax
(480) 897-0678
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Lorin Eric Jackrel, DMDNPI 1841226230
Title
Dentist
Phone
(480) 897-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2150 S Dobson Rd Ste 2
Mesa, AZ 85202-6487

Mailing address

2150 S Dobson Rd Ste 2
Mesa, AZ 85202-6487
Phone (480) 897-2888

Other names 1

  • Dr Eric Jackrel, DMD, PC Doing business as

National Provider Directory

National Provider Directory

Locations

2150 S Dobson Rd
Ste 2
Mesa, AZ 85202
Phone (480) 897-2888

Practitioners & affiliated clinicians

Practitioners 1

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1972061364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S DOBSON RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026487",
            "telephone_number": "480-897-2888",
            "fax_number": "480-897-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DOBSON RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026487",
            "telephone_number": "480-897-2888",
            "fax_number": "480-897-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LORIN ERIC JACKREL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "JACKREL",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-897-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Eric Jackrel, DMD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.