SCOTT ROBERT JACKSON DDS PC
NPI 1932294741
Dentist - General Practice in Peoria, AZ

NPI Status: Active since October 04, 2006

Contact Information

13660 N 94TH DR
SUITE A1 PLAZA DEL RIO MEDICAL CENTER
PEORIA, AZ
ZIP 85381
Phone: (623) 933-0550
Fax: (623) 933-2722

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  • Organization
  • Dentist
  • General Practice

About SCOTT ROBERT JACKSON DDS PC

This page provides the complete NPI Profile along with additional information for Scott Robert Jackson Dds Pc, a provider established in Peoria, Arizona operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1932294741 assigned on October 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 2532 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Scott Robert Jackson Dds Pc (President)

NPI
1932294741
Provider Name
SCOTT ROBERT JACKSON DDS PC
Entity Type
Organization
Location Address
13660 N 94TH DR SUITE A1 PLAZA DEL RIO MEDICAL CENTER PEORIA, AZ 85381
Location Phone
(623) 933-0550
Location Fax
(623) 933-2722
Mailing Address
13660 N 94TH DR SUITE #A1 PEORIA, AZ 85381
Mailing Phone
(623) 933-0550
Mailing Fax
(623) 933-2722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Scott Robert Jackson Dds Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2532
License State
AZ
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. SCOTT ROBERT JACKSON DDS PC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(623) 933-0550

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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.
1932294741
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296249878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 4 + 9 + 8 + 7 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1932294741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437156031DR. JEFFREY C KLEIMAN DMD
Individual
Dentist (General Practice)13660 N 94TH DR STE E3
PEORIA, AZ 85381
(623) 974-4799
1295723864 J BARTON RIPPERGER DPM
Individual
Podiatrist13660 N 94TH DR SUITE E1
PEORIA, AZ 85381
(623) 933-5787
1649250499DR. HEWITT WILLIAM REESE DPM
Individual
Podiatrist (Foot Surgery)13660 N 94TH DR F1
PEORIA, AZ 85381
(623) 933-1373
1447220678DR. DANIEL L BANGART DPM
Individual
Podiatrist13660 N 94TH DR STE F1
PEORIA, AZ 85381
(623) 974-0522
1932160512 MARGARET ANN WITHROW D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)13660 N 94TH DR STE A-3
PEORIA, AZ 85381
(623) 933-4645
1639119738 JULIE A DAVINSON PA-C
Individual
Physician Assistant13660 N 94TH DR STE C
PEORIA, AZ 85381
(623) 977-2400
1851312789DR. NAVJEET KAUR GANDHOK M.D.
Individual
Specialist13660 N 94TH DR SUITE C4
PEORIA, AZ 85381
(623) 933-7453
1700955036MS. KRISTA SOSTE LPC10946
Individual
Counselor (Mental Health)13660 N 94TH DR SUITE C3
PEORIA, AZ 85381
(623) 487-7763
1912109976 KRESENT THURINGER R.D.
Individual
Dietitian, Registered13660 N 94TH DR STE E-1
PEORIA, AZ 85381
(623) 977-7546
1891984308 JILL MARIE OBRIEN LAC, D.O.M.
Individual
Acupuncturist13660 N 94TH DR SUITE C-1
PEORIA, AZ 85381
(623) 933-1763
1245411479MARGARET A. WITHROW, DPM, PC
Organization
Podiatrist (Foot & Ankle Surgery)13660 N 94TH DR STE A-3
PEORIA, AZ 85381
(623) 933-4645
1861673741J. BARTON RIPPERGER DPM PC
Organization
Podiatrist (Foot & Ankle Surgery)13660 N 94TH DR SUITE E1
PEORIA, AZ 85381
(623) 972-6131
1003090200JEFFREY C KLEIMAN DMD PC
Organization
Clinic/Center (Dental)13660 N 94TH DR E-3
PEORIA, AZ 85381
(623) 974-4799
1821221847DR. TIFFANY NICOLE MITCHELL N.M.D.
Individual
Naturopath13660 N 94TH DR STE C-4
PEORIA, AZ 85381
(623) 266-1722
1104148741PACIFIC FOOTWEAR COMPANY, INC
Organization
Durable Medical Equipment & Medical Supplies13660 N 94TH DR SUITE F-2
PEORIA, AZ 85381
(623) 302-9396
1205152022SUNSHINE HEALTH CARE CENTER
Organization
Naturopath13660 N 94TH DR SUITE C4
PEORIA, AZ 85381
(623) 266-1722
1861441727UROLOGY CLINIC, LTD
Organization
Clinic/Center13660 N 94TH DR SUITE E2
PEORIA, AZ 85381
(623) 974-3621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932294741, enumerated in the NPI registry as an "organization" on October 04, 2006

The provider is located at 13660 N 94th Dr Suite A1 Plaza Del Rio Medical Center Peoria, Az 85381 and the phone number is (623) 933-0550

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on October 04, 2006. 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].
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