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

Q: What is Jesse Jackson's NPI number?

The NPI number for Jesse Jackson is 1235458514. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Q: What is Jesse 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 Jesse Jackson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 May 25, 2010

8650 NE SHOAL CREEK VALLEY DR, KANSAS CITY, MO 64157(816) 429-5799 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, Oct 8, 2025 (2 updates tracked since 2025).

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About Dr. Jesse L Jackson Dds NPPES

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

DR. JESSE L JACKSON DDS (NPI 1235458514) is an individual general practice provider in Kansas City, Missouri, licensed in Missouri (2010016173) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1235458514

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JESSE L JACKSONCredential: DDS

Location Address8650 NE SHOAL CREEK VALLEY DRKansas City, MO 64157-8063

Mailing Address8650 Ne Shoal Creek Valley DrKansas City, MO 64157-8063 · (816) 429-5799

Phone(816) 429-5799

Sole ProprietorNo

Enumeration DateMay 25, 2010

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1235458514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2010016173

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.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 2010016173 (MO)

8650 NE SHOAL CREEK VALLEY DR, Kansas City, MO 64157

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Other Providers at the Same Location NPPES 2

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

DR. ANDREW JOSEPH RUND DDS

Dentist

8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO 64157

Clay County (816) 429-5799

DR. SHANNON MCCAUL RIZZI DDS

Dentist

8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO 64157

Clay County (816) 429-5799

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 Jesse Jackson's NPI number?

The NPI number for Jesse Jackson is 1235458514. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Jesse Jackson located?

Jesse Jackson practices at 8650 NE Shoal Creek Valley Dr, Kansas City, MO 64157. The listed phone number is (816) 429-5799.

What is Jesse 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 Jesse Jackson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.