Scott Jacks, DDS, Inc

Scott Jacks, DDS, Inc is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in South Gate, CA, holding Type 2 (organization) NPI 1194928614 since 2007. The authorized official on file is Jerry Minsky, Owner.

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NPI	1194928614
Entity type	Organization (Type 2)
Legal business name	Scott Jacks, DDS, Inc
Other name	<Unavail>
Practice address	4354 TWEEDY BLVD, South Gate, CA, 90280
Phone	3235642444
Fax	3232497565
Enumeration date	2007-06-11
Last updated in NPPES	2015-09-16

Authorized official

Name	Jerry Minsky
Title	Owner
Phone	3235642444

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	Primary	31668	CA

Copy-ready billing details

Provider: Scott Jacks, DDS, Inc
NPI: 1194928614
Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry)
Address: 4354 TWEEDY BLVD, South Gate, CA, 90280

Verify this record

Cross-check NPI 1194928614 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

Where is Scott Jacks, DDS, Inc located?

The practice location on file with NPPES is in South Gate, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-09-16.