Darrell Jackson
Darrell Jackson is a healthcare organization registered as General Practice Dentistry in Alamosa, CO, holding Type 2 (organization) NPI 1588657795 since 2005. The authorized official on file is Darrell Jackson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588657795 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Darrell Jackson |
| Other name | <Unavail> |
| Practice address | 2405 MULLINS AVE, Alamosa, CO, 81101 |
| Phone | 7195895272 |
| Fax | 7195895300 |
| Enumeration date | 2005-08-24 |
| Last updated in NPPES | 2008-08-19 |
Authorized official
| Name | Darrell Jackson |
|---|---|
| Title | Owner |
| Phone | 7195895272 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 8293 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08230064 | Medicaid | CO | — |
Copy-ready billing details
Provider: Darrell Jackson NPI: 1588657795 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2405 MULLINS AVE, Alamosa, CO, 81101
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093707663 | Darrell Jackson | Individual | General Practice Dentistry | Alamosa, CO |
Verify this record
Cross-check NPI 1588657795 against the authoritative CMS record: view Darrell Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Darrell Jackson?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-08-19.