Active NPI
Kamryn Jackson, DDS
- General Practice Dentistry
- Magnolia, TX
National Provider Identifier
1093622250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42750
- Practice address
- 32822 FM 2978 Rd Ste 1300
Magnolia, TX 77354-7715 - Phone
- (832) 552-1559
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42750 | TX | Primary |
Addresses
Primary practice location
32822 FM 2978 Rd Ste 1300
Magnolia, TX 77354-7715
Mailing address
134 Hidden Peak Dr
Montgomery, TX 77316-2939
Phone (972) 978-6247
Other practice location 1
20042 Eva St Ste 100
Montgomery, TX 77356-2042
Phone (936) 206-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1093622250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HIDDEN PEAK DR",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773162939",
"telephone_number": "972-978-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32822 FM 2978 RD STE 1300",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773547715",
"telephone_number": "832-552-1559"
}
],
"practiceLocations": [
{
"address_1": "20042 Eva St Ste 100",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "TX",
"postal_code": "773562042",
"country_code": "US",
"telephone_number": "936-206-7069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "KAMRYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "42750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.