BRUCE A. JACKSON II, DDS, PLC
NPI 1639783137
Clinic/Center - Dental in Grand Rapids, MI

NPI Status: Active since September 02, 2020

Contact Information

4829 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 363-8707

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  • Organization
  • Clinic/Center
  • Dental

About BRUCE A. JACKSON II, DDS, PLC

This page provides the complete NPI Profile along with additional information for Bruce A. Jackson Ii, Dds, Plc, a provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1639783137 assigned on September 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Bruce Jackson Ii Dds (Owner)

NPI
1639783137
Provider Name
BRUCE A. JACKSON II, DDS, PLC
Entity Type
Organization
Location Address
4829 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
Location Phone
(616) 363-8707
Mailing Address
4829 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
Mailing Phone
(616) 363-8707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2020
Last Update Date
09-02-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE JACKSON II DDS

Authorized Official Title
OWNER
Authorized Official Phone
(616) 363-8707

Reviews for BRUCE A. JACKSON II, DDS, PLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639783137
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669148616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 8 + 6 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639783137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235189325DR. ALAN LOUIS ROSENDALL D.D.S.
Individual
Dentist (General Practice)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-9277
1871540997 LIANA RINZLER MD
Individual
Obstetrics & Gynecology4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-9069
1902947930DIAMOND HOME CARE SERVICES, INC.
Organization
Home Health4829 E BELTLINE AVE NE SUITE 7C
GRAND RAPIDS, MI 49525
(616) 241-6670
1316154511DR. WADE LEE LOWERY D.C.
Individual
Chiropractor4829 E BELTLINE AVE NE STE 304
GRAND RAPIDS, MI 49525
(616) 874-0874
1295935286 MARK S OLEXA MA, LPC, LMSW
Individual
Social Worker4829 E BELTLINE AVE NE BUILDING ONE, SUITE 103
GRAND RAPIDS, MI 49525
(616) 560-4036
1528234986MICHIGAN MEDICAL PATIENT CARE
Organization
Obstetrics & Gynecology4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-9069
1063689362MITUS-ROSENDALL D.D.S.
Organization
Dentist (General Practice)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-9277
1891091195KUIPER ACT, PLLC
Organization
Psychologist (Clinical)4829 E BELTLINE AVE NE BLDG 1 SUITE 100
GRAND RAPIDS, MI 49525
(616) 581-4668
1265792931FAMILIES FOREVER COUNSELING PLC
Organization
Community/Behavioral Health4829 E BELTLINE AVE NE SUITE #103
GRAND RAPIDS, MI 49525
(616) 217-8621
1225392418SOULCARE COUNSELING
Organization
Social Worker (Clinical)4829 E BELTLINE AVE NE SUITE 103
GRAND RAPIDS, MI 49525
(616) 560-4036
1881910198FREEDOM COUNSELING AND EDUCATION CENTER, PLC
Organization
Counselor (Professional)4829 E BELTLINE AVE NE SUITE 103
GRAND RAPIDS, MI 49525
(616) 734-9417
1639504673MS. LAURIE ELAINE NYQUIST TLLP
Individual
Counselor (Professional)4829 E BELTLINE AVE NE SUITE #103
GRAND RAPIDS, MI 49525
(616) 217-8612
1598748014MS. ALICE MARIE PADILLA N.P.
Individual
Nurse Practitioner (Women's Health)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 267-7069
1871912709 ANGELA SCHMIDT TLLP
Individual
Psychologist (Counseling)4829 E BELTLINE AVE NE BUILDING 1, SUITE 100
GRAND RAPIDS, MI 49525
(616) 364-3301
1194182469 JONATHAN MULDER
Individual
Counselor (Professional)4829 E BELTLINE AVE NE SUITE 103
GRAND RAPIDS, MI 49525
(616) 734-9417
1861971145 MARIA HERRALA LMSW
Individual
Social Worker (Clinical)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(800) 788-8630
1205396538SUSAN MISSAD COUNSELING
Organization
Psychologist (Counseling)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 291-6595
1033730213DR. RHETT BAYLOR JACKSON D.D.S
Individual
Dentist (General Practice)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 550-0087
1720039878DR. BRUCE ARDEN JACKSON II DDS
Individual
Dentist (General Practice)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-8707
1457333098MRS. KRISTIE SUE BUCHHOLZ NP
Individual
Nurse Practitioner (Women's Health)4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 363-9069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639783137, enumerated in the NPI registry as an "organization" on September 02, 2020

The provider is located at 4829 E Beltline Ave Ne Grand Rapids, Mi 49525 and the phone number is (616) 363-8707

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on September 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.