Active NPI
Charles Jackson, DPM
- Podiatrist
- Hobbs, NM
National Provider Identifier
1760535926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 239
- Practice address
- 820 N Dalmont St
Hobbs, NM 88240-5214 - Phone
- (505) 393-9137
- Fax
- (505) 391-3977
- NPI assigned
- Jan 19, 2007
- Last updated
- Sep 29, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 239 | NM | Primary |
| Podiatrist | 213E00000X | 1640 | TX | |
| Podiatrist | 213E00000X | 80171 | MS |
Addresses
Primary practice location
820 N Dalmont St
Hobbs, NM 88240-5214
Mailing address
820 N Dalmont St
Hobbs, NM 88240-5214
Phone (505) 393-9137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM005310 | Other | NM | BCBS |
| 67753 | Medicaid | NM |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239 | NM | MD | Acupuncturist |
| 80171 | MS | MD | Podiatrist |
| 1640 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1760535926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N DALMONT ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405214",
"telephone_number": "505-393-9137",
"fax_number": "505-391-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N DALMONT ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405214",
"telephone_number": "505-393-9137",
"fax_number": "505-391-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHARLES",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NM",
"license": "239",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1640",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MS",
"license": "80171",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM005310",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67753",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.