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RYNE JACKSON DMD, MSD
NPI 1619538436
Dentist - Endodontics in Surprise, AZ

Active since June 24, 2019
15294 W BROOKSIDE LN STE 100, SURPRISE, AZ 85374(623) 376-7400 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryne Jackson Dmd, Msd NPPES

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

RYNE JACKSON DMD, MSD (NPI 1619538436) is an individual endodontics provider in Surprise, Arizona, licensed in Arizona (D012024) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1619538436
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameRYNE JACKSONCredential: DMD, MSD
Location Address15294 W BROOKSIDE LN STE 100Surprise, AZ 85374-2446
Mailing Address24125 N 160th AveSurprise, AZ 85387-1629 · (480) 353-6476
Phone(623) 376-7400
Sole ProprietorYes
Enumeration DateJune 24, 2019
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1619538436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in AZ · D012024
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 7005 (LA)
15294 W BROOKSIDE LN STE 100, Surprise, AZ 85374
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

UNTVA PLLC
Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374
Maricopa County (623) 376-7400
SURPRISE ENDO PLLC
Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374
Maricopa County (623) 376-7400
DR. ERIK JOHN FOISY D.M.D
Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374
Maricopa County (623) 376-7400

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 Ryne Jackson's NPI number?

The NPI number for Ryne Jackson is 1619538436. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Ryne Jackson located?

Ryne Jackson practices at 15294 W Brookside Ln Ste 100, Surprise, AZ 85374. The listed phone number is (623) 376-7400.

What is Ryne Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Ryne Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Ryne 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 Ryne Jackson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.