DR. JESSE L JACKSON DDS
NPI 1235458514
Dentist - General Practice in Kansas City, MO

NPI Status: Active since May 25, 2010

Contact Information

8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO
ZIP 64157
Phone: (816) 429-5799

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  • Individual
  • Male
  • Dentist
  • General Practice

About JESSE JACKSON

This page provides the complete NPI Profile along with additional information for Jesse Jackson, a provider established in Kansas City, Missouri with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1235458514 assigned on May 2010. The practitioner's primary taxonomy code is 1223G0001X with license number 2010016173 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1235458514
Provider Name
DR. JESSE L JACKSON DDS
Gender
Male
Entity Type
Individual
Location Address
8650 NE SHOAL CREEK VALLEY DR KANSAS CITY, MO 64157
Location Phone
(816) 429-5799
Mailing Address
8650 NE SHOAL CREEK VALLEY DR KANSAS CITY, MO 64157
Mailing Phone
(816) 429-5799
Is Sole Proprietor?
No
Enumeration Date
05-25-2010
Last Update Date
11-10-2025
Code Navigator

A dentist like Jesse Jackson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2010016173
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

2010016173 (MO)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235458514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 8 + 5 + 1 + 6 + 5 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1235458514.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO 64157
Dentist
8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO 64157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235458514, enumerated as an "individual" on May 25, 2010.

The provider is located at 8650 NE SHOAL CREEK VALLEY DR KANSAS CITY, MO 64157 and the phone number is (816) 429-5799.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.