Jackson Medical Enterprises

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

Legal business name

JACKSON MEDICAL ENTERPRISES

Practice address

8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429

Phone

(313) 461-6194

NPI assigned

Jun 15, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis Nathaniel Jackson, M.D.NPI 1063039824

Title

Owner

Phone

(313) 461-6194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis N. Jackson, MD

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1063039824

  Sports Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1093640989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 S FORT APACHE RD UNIT 280",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481558",
            "telephone_number": "313-461-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W POST RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482429",
            "telephone_number": "313-461-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-461-6194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Jacko
• Karen Stewart Jacks, MD
• Jennie Jackson Cherry
• Sonya Renae Jackson Huddleston
• Shaw Jackson Jr
• Jackson Ophthalmology Group LTD
• Jackson Psychiatric and Primary Care Services
• Lisa Maurine Jackson Smith
• Shaw Jackson Sr
• Symphony Jackson Walker, CNA

• Sports Medicine (Emergency Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Sports Medicine (Emergency Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.