Jackson Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACKSON FAMILY DENTAL LLC

Practice address

8650 NE Shoal Creek Valley Drive
Kansas City, MO 64157

Phone

(816) 429-5799

Fax

(816) 245-7867

NPI assigned

Feb 2, 2015

Last updated

Oct 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Lynn Jackson, DDSNPI 1235458514

Title

Owner

Phone

(816) 429-5799

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse L Jackson, DDS

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1235458514
  NPD Authorized official
• Shannon McCaul Rizzi, DDS

  • Dentist
  • Kansas City, MO
  • NPI 1740929462

  General Practice

  NPD
• Andrew Joseph Rund, DDS

  • Dentist
  • Kansas City, MO
  • NPI 1184464588
  NPD

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1851781520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S VILLAGE DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682457",
            "telephone_number": "816-429-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 NE SHOAL CREEK VALLEY DRIVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64157",
            "telephone_number": "816-429-5799",
            "fax_number": "816-245-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-429-5799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack of Trades Sales Contracting
• Jack of Trades Sales Contracting
• Kristina Jack
• Jackel Counseling Services, LLC
• Jackson County, Missouri
• Jackson Style Group Home (Jackson Style Agency)
• Teklyn Sarahn Jackson-Davis, MS, SLP-CCC
• Jennifer J Jackson-Rice, LCSW
• Angela Gregory Jackson, LCSW
• Aniika Richann Jackson, DDS

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.