David Keith Jackson II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104164 Issued in CA

Practice address

19871 Mitscher Way
San Diego, CA 92145-5103

Phone

(858) 577-1825

NPI assigned

Oct 4, 2019

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1992346597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 LOCHWOOD PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920264044",
            "telephone_number": "858-531-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 MITSCHER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921455103",
            "telephone_number": "858-577-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F Jackson
• Cherolyn Jackson
• Cody Ronald Jackson, M.D.
• Dahlin Jackson, DO
• Danielle Linda Jackson, LCSW
• Dontee Lamone Jackson
• Elizabeth Anne Caroline Jackson, PHARM D.
• Erica Aleas Jackson, FNP-C
• Erin Jackson
• Evangelina Jackson, LVN

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.