Jackson and Jackson DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACKSON AND JACKSON DDS, PA

Practice address

509 W 15TH St
Washington, NC 27889-3565

Phone

(252) 946-7725

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brad W Jackson, DDS

Title

Dentist

Phone

(252) 946-7725

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.

• Bradford Williams Jackson, DDS

  • General Practice Dentistry
  • Washington, NC
  • NPI 1518908771
  NPD (past)
• William Fleet Jackson Jr., DDS

  • General Practice Dentistry
  • Washington, NC
  • NPI 1285675025
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972540763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-946-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AND JACKSON DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-946-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpatient Physician Partners PA
• Inspire Residential Services
• Instride Foot and Ankle Specialists, PLLC
• Integrated Family Services, PLLC
• John J. Inzerillo, M.D.
• Bradford Williams Jackson, DDS
• William Fleet Jackson Jr., DDS
• Lori Jefferson
• Jeffery L Rumley DDS PA
• Megan Bunch Jernigan, M.S., LPCA

• General Practice Dentistry in Washington, NC
• Providers in Washington, NC by specialty
• General Practice Dentistry in North Carolina

• 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.