DR. T. RYAN JACKSON DDS, MSD
NPI 1558456772
Dentist - Periodontics in Greenwood, IN

Q: What is T. Jackson's NPI number?

The NPI number for T. Jackson is 1558456772. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is T. Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for T. Jackson was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 04, 2006

45 N. MADISON AVE., GREENWOOD, IN 46142(317) 887-3180(317) 882-2718 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. T. Ryan Jackson Dds, Msd NPPES

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

DR. T. RYAN JACKSON DDS, MSD (NPI 1558456772) is an individual periodontics provider in Greenwood, Indiana, licensed in Indiana (12009768) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1558456772

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. T. RYAN JACKSONCredential: DDS, MSD

Location Address45 N. MADISON AVE.Greenwood, IN 46142

Mailing Address45 N. Madison Ave.Greenwood, IN 46142 · (317) 887-3180 · Fax (317) 882-2718

Phone(317) 887-3180

Fax(317) 882-2718

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 25, 2011

✔ NPI 1558456772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IN · 12009768

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

45 N. MADISON AVE., Greenwood, IN 46142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, HRI Dental & Vision, Paramount.Insurance ›

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 T. Jackson's NPI number?

The NPI number for T. Jackson is 1558456772. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is T. Jackson located?

T. Jackson practices at 45 N. Madison Ave., Greenwood, IN 46142. The listed phone number is (317) 887-3180.

What is T. Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does T. Jackson accept?

Health plans from Delta Dental of Indiana, HRI Dental & Vision and Paramount list T. Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for T. Jackson was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.