OrganizationActive
Scott Jacks, DDS, Inc
NPI 1043414576 · Dentist · Carson, CA
Scott Jacks, DDS, Inc is a Dentist organization in Carson, CA (NPI 1043414576).
Provider details
- NPI number
- 1043414576
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jerry Minsky, Owner(323) 564-2444
- License
- 31668 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20700 Avalon Blvd
Suite 600
Carson, CA 90746-3701
Phone: (310) 241-6175
Fax: (323) 249-7565
Street-level locationGet directions
Mailing address
20700 Avalon Blvd
Carson, CA 90746-3701
Other names (DBA / former)
- Doing business as
- Children'S Dental Group
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2015-09-23
Frequently asked questions
- What is Scott Jacks, DDS, Inc's NPI number?
- Scott Jacks, DDS, Inc's National Provider Identifier (NPI) is 1043414576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scott Jacks, DDS, Inc?
- Scott Jacks, DDS, Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Scott Jacks, DDS, Inc located?
- Scott Jacks, DDS, Inc's practice location on file with NPPES is 20700 Avalon Blvd, Carson, CA 90746-3701.
- What is Scott Jacks, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Scott Jacks, DDS, Inc is (310) 241-6175.
- Who is the authorized official for Scott Jacks, DDS, Inc?
- The authorized official listed on Scott Jacks, DDS, Inc's NPPES record is Jerry Minsky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scott Jacks, DDS, Inc's NPI active?
- Yes — Scott Jacks, DDS, Inc's NPI (1043414576) is active in the NPPES registry as of the last update on 2015-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.