Arianna Jackson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61640 Issued in KS

Practice address

21 N 12TH St Ste 400
Kansas City, KS 66102-5172

Phone

(816) 599-5111

NPI assigned

Jun 25, 2019

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1689760076
  Medicare reassignment NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1285404434
  NPD
• Olathe South Dentistry, PA

  dba Olathe South Dentistry

  • Dentist
  • Olathe, KS
  • NPI 1245710193
  NPD (past)
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Riverside, MO
  • NPI 1568557205
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1932760303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800",
            "fax_number": "816-922-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "816-599-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-599-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ARIANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kay Ishmael, RN
• Ashly Isidro-Paniague
• Adania E Ivory
• Javaneh Jabbari, MD
• Angela Jackson, CERTIF HAIR LOSS SPE
• Bradley Stevens Jackson, M.D.
• Derrick Jackson
• Jordan Alexa Jackson, PT, DPT, SCS
• Kelsey Nicole Jackson, APRN-CNP
• Lateasha C Jackson

• Dentist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.