DR. JESSE L JACKSON (DDS) – Dentist, NPI 1235458514

DR. JESSE L JACKSON (DDS) is a healthcare provider. based in Kansas city, Missouri. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 2010016173 (MO). The NPI Number for DR. JESSE L JACKSON (DDS) is 1235458514

Main info

Male
Name
DR. JESSE L JACKSON (DDS)
NPI
1235458514
Phone
(816) 429-5799
Address
8650 NE SHOAL CREEK VALLEY DR
Enumeration Date
25 May 2010
Last Update Date
10 November 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for DR. JESSE L JACKSON (DDS)

  • 8650 NE SHOAL CREEK VALLEY DR

    KANSAS CITY, MO 641578063

    Phone: (816) 429-5799

    Type: Mailing

  • 26 S VILLAGE DR

    LIBERTY, MO 640682457

    Phone: (816) 429-5799

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Align Technology, Inc. ($61).

Total Amount

$191

General + Research + Ownership

Payments

8

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64157)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JESSE L JACKSON (DDS)?
DR. JESSE L JACKSON (DDS) — NPI 1235458514 — is the standard way to identify this listing.
Is DR. JESSE L JACKSON (DDS) still practicing?
DR. JESSE L JACKSON (DDS) is currently listed as active in the public NPI registry.
What is DR. JESSE L JACKSON (DDS)'s primary classification?
Dentist is the headline specialty for DR. JESSE L JACKSON (DDS) here. Clinical services aligned with this taxonomy classification.
Where is DR. JESSE L JACKSON (DDS) based?
DR. JESSE L JACKSON (DDS) is tied to Kansas City, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about DR. JESSE L JACKSON (DDS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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