DR. TRACIE JACKSON D.D.S.
NPI 1982883609
Dentist - General Practice in League City, TX

Active since October 30, 2007
1507 W LEAGUE CITY PKWY STE 100, LEAGUE CITY, TX 77573(281) 332-8400(281) 476-6429 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tracie Jackson D.d.s. NPPES

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

DR. TRACIE JACKSON D.D.S. (NPI 1982883609) is an individual general practice provider in League City, Texas, licensed in Texas (22852) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1982883609
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACIE JACKSONCredential: D.D.S.
Location Address1507 W LEAGUE CITY PKWY STE 100League City, TX 77573-7340
Mailing Address1507 W League City Pkwy Ste 100League City, TX 77573-7340 · (281) 332-8400 · Fax (281) 476-6429
Fax(281) 476-6429
Sole ProprietorYes
Enumeration DateOctober 30, 2007
Last NPPES UpdateMay 30, 2019
NPI 1982883609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 22852
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.
1507 W LEAGUE CITY PKWY STE 100, League City, TX 77573

Accepted Insurance

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.

Dentist (General Practice)
1507 W LEAGUE CITY PKWY STE 100
LEAGUE CITY, TX 77573
Clinic/Center (Dental)
1507 W LEAGUE CITY PKWY STE 100
LEAGUE CITY, TX 77573

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 Tracie Jackson's NPI number?

The NPI number for Tracie Jackson is 1982883609. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Tracie Jackson located?

Tracie Jackson practices at 1507 W League City Pkwy Ste 100, League City, TX 77573. The listed phone number is (281) 332-8400.

What is Tracie Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tracie Jackson accept?

Health plans from Humana and Renaissance Dental list Tracie 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 Tracie Jackson was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.