Scott Jacks, DDS, Inc
Scott Jacks, DDS, Inc is a healthcare organization registered as Dentist in Carson, CA, holding Type 2 (organization) NPI 1043414576 since 2007. The authorized official on file is Jerry Minsky, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043414576 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Scott Jacks, DDS, Inc |
| Other name | <Unavail> |
| Practice address | 20700 AVALON BLVD, SUITE 600, Carson, CA, 90746 |
| Phone | 3102416175 |
| Fax | 3232497565 |
| Enumeration date | 2007-06-11 |
| Last updated in NPPES | 2015-09-23 |
Authorized official
| Name | Jerry Minsky |
|---|---|
| Title | Owner |
| Phone | 3235642444 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Secondary | 31668 | CA |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Secondary | 31668 | CA |
| 122300000X | Dentist | Primary | 31668 | CA |
Copy-ready billing details
Provider: Scott Jacks, DDS, Inc NPI: 1043414576 Taxonomy: 122300000X (Dentist) Address: 20700 AVALON BLVD, SUITE 600, Carson, CA, 90746
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477861755 | William K. Shiomi, O.D., Inc | Organization | Optometrist | Carson, CA |
| 1013297795 | Namie Kong | Individual | Pediatric Dentistry | Carson, CA |
| 1336858372 | Arya Sinai | Individual | General Practice Dentistry | Carson, CA |
Verify this record
Cross-check NPI 1043414576 against the authoritative CMS record: view Scott Jacks, DDS, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Scott Jacks, DDS, Inc?
Who is the authorized official for Scott Jacks, DDS, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-09-23.