MR. ORLAN JACKSON D.O.
NPI 1184602666
Family Medicine in Beulah, ND

Q: What is Orlan Jackson's NPI number?

The NPI number for Orlan Jackson is 1184602666. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Orlan Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Orlan Jackson was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 January 05, 2006

1312 HIGHWAY 49 N, BEULAH, ND 58523(701) 873-4445(701) 873-4199 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 4, 2021, Oct 24, 2017, Nov 3, 2016 (3 updates tracked since 2016).

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About Mr. Orlan Jackson D.o. NPPES

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

MR. ORLAN JACKSON D.O. (NPI 1184602666) is an individual family medicine provider in Beulah, North Dakota, licensed in North Dakota (ND5650) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1184602666

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. ORLAN JACKSONCredential: D.O.

Location Address1312 HIGHWAY 49 NBeulah, ND 58523-6038

Mailing Address1312 Highway 49 NBeulah, ND 58523-6038 · (701) 873-4445 · Fax (701) 873-4199

Phone(701) 873-4445

Fax(701) 873-4199

Sole ProprietorNo

Enumeration DateJanuary 5, 2006

Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1184602666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · ND5650

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1312 HIGHWAY 49 N, Beulah, ND 58523

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Other Identifiers 2

Medicaid13470ND

Other27705ND · Blue Cross Blue Shield Nd

Other Providers at the Same Location NPPES 20

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

DANA MAAS LSW, LAC

Counselor (Addiction (Substance Use Disorder))