Centerville Oh - Kyle Jackson DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CENTERVILLE OH - KYLE JACKSON DDS INC

Practice address

273 Regency Ridge Dr
Centerville, OH 45459-4221

Phone

(937) 586-7729

NPI assigned

Feb 16, 2026

Organization subpart

No

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

Authorized official

Name

Christina Carlson

Title

Cfo

Phone

(720) 603-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1730032210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 REGENCY RIDGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594221",
            "telephone_number": "937-586-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 REGENCY RIDGE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594221",
            "telephone_number": "937-586-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE OH - KYLE JACKSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerille Pediatric Dentistry, Kyle R Jackson, DDS, Inc
• Centerville Chiropractic I (Centerville Chiropractic)
• Centerville Dental Center Ohio LLC
• Centerville Family Eye Care
• Centerville Hearing Center, LLC
• Centerville Podiatry Inc
• Centerville SNF Healthcare LLC (Centerville Post Acute)
• William Polo Chaikwang
• Sarah Chaltry
• Cecelia Shireen Chamberlain, AU.D.

• Pediatric Dentistry in Centerville, OH
• Providers in Centerville, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.