Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194027698 Individual Practitioner Male Practitioner

Jack Ross Acheatel

Dentist - General Practice • Northridge, CA

Professional Overview & Biography Verified Profile Summary

Jack Acheatel is a registered healthcare professional specializing in Dentist - General Practice in Northridge, CA. Practice services are available at 18856 ROSCOE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18856 Roscoe Blvd

Northridge, CA 91324

Telephone 8188857116
Associated Practice Facility / Clinic
🏢 Sergey Tatulyan Dds, Inc. Facility NPI 1538585328

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Northridge, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Northridge, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 20143

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Sergey Tatulyan , DDS

Dentist - General Practice

NPI 1629289798

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2010

Registered at 18856 ROSCOE BLVD, NORTHRIDGE, CA 91324 (Tel: 8188857116)

📍
Updated Business Mailing Address December 03, 2010

Registered at 18856 ROSCOE BLVD, NORTHRIDGE, CA 91324 (Tel: 8188857116)

👤
Provider Name / Credentials Updated December 03, 2010

Recorded as JACK ACHEATEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2010

Dentist (License #20143 in CA)

🟢
Initial NPI Registration & Enumeration December 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194027698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2010
Last Update: December 03, 2010
Sole Proprietor: Yes

Mailing Address

18856 Roscoe Blvd

Northridge, CA 91324

Phone: 8188857116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.