Active NPI
Ralph Dudley Jackson III, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Alexandria, LA
National Provider Identifier
1104817154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5337
- Practice address
- 1400 Metro Dr
Alexandria, LA 71301-3451 - Phone
- (318) 487-0075
- Fax
- (318) 487-0958
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5337 | LA | Primary |
Addresses
Primary practice location
1400 Metro Dr
Alexandria, LA 71301-3451
Mailing address
6201 Bradford Dr
Alexandria, LA 71303-2382
Phone (318) 449-8621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5337 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104817154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 BRADFORD DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032382",
"telephone_number": "318-449-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 METRO DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013451",
"telephone_number": "318-487-0075",
"fax_number": "318-487-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "RALPH",
"middle_name": "DUDLEY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "5337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.