Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DARRELL G. JACKSON D.D.S.
NPI 1093707663
Dentist - General Practice in Alamosa, CO

Q: What is Darrell Jackson's NPI number?

The NPI number for Darrell Jackson is 1093707663. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Darrell Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Darrell Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2005

2405 MULLINS AVE, ALAMOSA, CO 81101(719) 589-5272(719) 589-5300 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Darrell G. Jackson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARRELL G. JACKSON D.D.S. (NPI 1093707663) is an individual general practice provider in Alamosa, Colorado, licensed in Colorado (8293) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1093707663

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DARRELL G. JACKSONCredential: D.D.S.

Location Address2405 MULLINS AVEAlamosa, CO 81101-4260

Mailing Address2405 Mullins AveAlamosa, CO 81101-4260 · (719) 589-5272 · Fax (719) 589-5300

Phone(719) 589-5272

Fax(719) 589-5300

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1093707663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 8293

Definition

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.

2405 MULLINS AVE, Alamosa, CO 81101

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Other Identifiers 1

Other01518266CO · Blue Cross Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRELL JACKSON

Dentist (General Practice)

2405 MULLINS AVE
ALAMOSA, CO 81101

Alamosa County (719) 589-5272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrell Jackson's NPI number?

The NPI number for Darrell Jackson is 1093707663. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Darrell Jackson located?

Darrell Jackson practices at 2405 Mullins Ave, Alamosa, CO 81101. The listed phone number is (719) 589-5272.

What is Darrell Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Darrell Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.