Kyle Spencer Jackson, DMD,DHSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2374 Issued in MT

Practice address

301 Saddle Dr
Suite a
Helena, MT 59601-8098

Phone

(406) 442-1899

NPI assigned

Oct 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1922334754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SADDLE DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-442-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SADDLE DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-442-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597144419",
            "country_code": "US",
            "telephone_number": "406-442-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KYLE",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DMD,DHSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rhiannon Irby, LCSW
• Jody L Isbell, PA-C
• J. Olivia Drumm, LLC
• April Janel Jackson
• Jade Nicole Jackson, PA
• Nikki Ann Jackson, DPT
• Rodneesha D Jacobs
• Mackenzie K Jahn, RBT
• Pietro N James, MD
• Jamie Rodriguez LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Helena, MT
• Providers in Helena, MT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.