Zachary Jacob Jackson

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7727 Issued in LA

Practice address

7223 Mississippi Ave
Fort Polk, LA 71459-0001

Phone

(726) 780-1451

NPI assigned

Sep 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1548874274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 MISSISSIPPI AVE",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714590001",
            "telephone_number": "726-780-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 MISSISSIPPI AVE",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714590001",
            "telephone_number": "726-780-1451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Rock Merrit Ave Stop A Womack Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283107500",
            "country_code": "US",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4076 Neely Rd",
            "address_2": "Bldg 4076 Room 3C-404",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997037500",
            "country_code": "US",
            "telephone_number": "907-361-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ZACHARY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11316",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AK",
            "license": "192325",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "192325",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brian Hunt, PA
• Travis Husser, CRNA
• Ibrahim Idoh, DENTAL HYGIENE
• Isaac Aziz Isaiah, MD.
• Paula Jean Jackson, MD
• Antqualene Lavette Johnson, PA-C
• Henry Johnson Jr., PA-C
• Jerri Lea Johnson, LCSW
• Nichelle Antoinette Johnson, R.D, L.D.
• Debra Jones, MD

• Endodontics in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Endodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.