Stacy Jackson, DDS
NPI 1043530991 · Pediatric Dentistry · Boulder, CO
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Jackson, DDS is a Pediatric Dentistry provider in Boulder, CO (NPI 1043530991).
Provider details
- NPI number
- 1043530991
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2010016174 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
16 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$143 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 5150 W 80th AveWestminster, CO 80030-4449Phone: (303) 427-1951
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Frequently asked questions
- What is Stacy Jackson's NPI number?
- Stacy Jackson's National Provider Identifier (NPI) is 1043530991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Jackson's specialty?
- Stacy Jackson is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Stacy Jackson located?
- Stacy Jackson's practice location on file with NPPES is 3400 Penrose Pl Ste 107, Boulder, CO 80301-1809.
- What is Stacy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Stacy Jackson is (303) 443-8250.
- Does Stacy Jackson accept Medicare?
- Stacy Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Jackson's NPI active?
- Yes — Stacy Jackson's NPI (1043530991) is active in the NPPES registry as of the last update on 2023-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.