Individual provider Active NPI

Jeffrey Allan Jamieson, DDS, MS, CERT ORTHO

  • General Practice Dentistry
  • Marquette, MI
National Provider Identifier
1992910707
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019679 Issued in MI
Practice address
1029 Lincoln Ave
Marquette, MI 49855-2679
Phone
(906) 228-8720
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019679 MI Primary

Addresses

Primary practice location

1029 Lincoln Ave
Marquette, MI 49855-2679

Mailing address

1029 Lincoln Ave
Marquette, MI 49855-2679
Phone (906) 228-8720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019679MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jamieson Orthodontics CurrentSince Dec 13, 2020 Accepting new patients

Locations

1029 Lincoln Ave
Ste 1
Marquette, MI 49855
Phone (906) 228-8720

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1992910707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LINCOLN AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552679",
            "telephone_number": "906-228-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LINCOLN AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552679",
            "telephone_number": "906-228-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "JEFFREY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, CERT ORTHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "019679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.