JACKSON SPILLER
NPI 1679421366
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since March 18, 2026
29 BEE ST, CHARLESTON, SC 29425(843) 876-7645 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Spiller NPPES

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

JACKSON SPILLER (NPI 1679421366) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1679421366
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON SPILLER
Location Address29 BEE STCharleston, SC 29425-0001
Mailing Address35 Idaho RdBonners Ferry, ID 83805-3300 · (360) 610-1777
Sole ProprietorNo
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1679421366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
29 BEE ST, Charleston, SC 29425

Other Providers at the Same Location NPPES 14

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

Dentist (Pediatric Dentistry)
29 BEE ST
CHARLESTON, SC 29425
Dentist (Endodontics)
29 BEE ST
CHARLESTON, SC 29425
Dentist (Pediatric Dentistry)
29 BEE ST
CHARLESTON, SC 29425
Student in an Organized Health Care Education/Training Program
29 BEE ST
CHARLESTON, SC 29425
Dentist
29 BEE ST, MUSC AEGD PROGRAM
CHARLESTON, SC 29425
Dentist (Pediatric Dentistry)
29 BEE ST
CHARLESTON, SC 29425
Dentist (General Practice)
29 BEE ST
CHARLESTON, SC 29425
Dentist (General Practice)
29 BEE ST
CHARLESTON, SC 29425

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 Jackson Spiller's NPI number?

The NPI number for Jackson Spiller is 1679421366. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Jackson Spiller located?

Jackson Spiller practices at 29 Bee St, Charleston, SC 29425. The listed phone number is (843) 876-7645.

What is Jackson Spiller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Spiller was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.