Jordan Jackson Caracci, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

111404 Issued in MS

Practice address

2408 S Lamar Blvd
Unit 1
Oxford, MS 38655

Phone

(662) 513-4188

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oxford Dental Specialists

  • Pediatric Dentistry
  • Oxford, MS
  • NPI 1770646598
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1821780727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ATLANTA AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553238",
            "telephone_number": "662-312-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S LAMAR BLVD",
            "address_2": "UNIT 1",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-513-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCI",
        "first_name": "JORDAN",
        "middle_name": "JACKSON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4497-25",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "4497-25",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "111404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Warren Campbell, PH.D.
• Mia Desirae Campbell
• Tori Ashanti Campbell, BSW
• John E Cantrell, M.D.
• Dian Parker Capps, M.ED.
• Curtis Caradine
• Cardiology Associates of North Ms PA
• Cardiology Consultants of Oxford
• Caremed EMS, LLC
• Frederick Barnett Carlton III, FNP-BC

• Pediatric Dentistry in Oxford, MS
• Providers in Oxford, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.