OrganizationActive
Lake Jackson Modern Dentistry, PC
NPI 1821472507 · Dentist · Irvine, CA
Lake Jackson Modern Dentistry, PC is a Dentist organization in Irvine, CA (NPI 1821472507).
Provider details
- NPI number
- 1821472507
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- John Barnes, Owner Doctor(979) 583-6005
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone: (714) 845-8890
Fax: (949) 474-1495
Street-level locationGet directions
Mailing address
97 Oyster Creek Dr Suite 130
Lake Jackson, TX 77566
Other names (DBA / former)
- Doing business as
- Lake Jackson Modern Dentistry
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2015-07-13
Frequently asked questions
- What is Lake Jackson Modern Dentistry, PC's NPI number?
- Lake Jackson Modern Dentistry, PC's National Provider Identifier (NPI) is 1821472507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Jackson Modern Dentistry, PC?
- Lake Jackson Modern Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Jackson Modern Dentistry, PC located?
- Lake Jackson Modern Dentistry, PC's practice location on file with NPPES is 17000 Red Hill Ave, Irvine, CA 92614-5626.
- What is Lake Jackson Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Jackson Modern Dentistry, PC is (714) 845-8890.
- Who is the authorized official for Lake Jackson Modern Dentistry, PC?
- The authorized official listed on Lake Jackson Modern Dentistry, PC's NPPES record is John Barnes, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Jackson Modern Dentistry, PC's NPI active?
- Yes — Lake Jackson Modern Dentistry, PC's NPI (1821472507) is active in the NPPES registry as of the last update on 2015-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.