Martin Jackson DPM PSC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1239 Issued in TX

Legal business name

MARTIN JACKSON DPM PSC

Practice address

1675 Republic Pkwy Ste 101
Mesquite, TX 75150-6902

Phone

(214) 478-8483

Fax

(714) 903-7801

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Martin Jackson

Title

Owner

Phone

(214) 478-8483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1992003016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797512",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797512",
            "telephone_number": "214-478-8483",
            "fax_number": "714-903-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "214-478-8483",
            "fax_number": "714-903-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN JACKSON DPM PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-478-8483"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M Perish
• Marsaw Home Health Agency
• Robert C Marsh, PTA
• Diana Marshall, PT
• Janice Jones Marshall, MD
• Camille Martinez
• Stephanie Martinez, LVN
• Mason Mesquite Op, LLC
• Samuel L. Mason, D.D.S.
• Masons Personal Care Homes Inc

• Podiatrist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.