OrganizationActive
Scott Jacks, DDS, Inc
NPI 1609041482 · Dentist · San Jose, CA
Scott Jacks, DDS, Inc is a Dentist organization in San Jose, CA (NPI 1609041482).
Provider details
- NPI number
- 1609041482
- 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(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1153 S King Rd
San Jose, CA 95122-2144
Phone: (323) 564-2444
Street-level locationGet directions
Mailing address
4444 Tweedy Blvd
South Gate, CA 90280-6304
Other names (DBA / former)
- Doing business as
- Children'S Dental Group
Registry dates
- Enumerated
- 2008-04-23
- 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 1609041482, 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 1153 S King Rd, San Jose, CA 95122-2144.
- What is Scott Jacks, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Scott Jacks, DDS, Inc is (323) 564-2444.
- 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 (1609041482) 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.