IndividualActive
Jackson Northouse, DDS
NPI 1073443958 · Dentist · Wyoming, MI
Jackson Northouse, DDS is a Dentist provider in Wyoming, MI (NPI 1073443958).
Provider details
- NPI number
- 1073443958
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901603017 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
2024 Health Dr Sw Ste a
Wyoming, MI 49519-9501
Phone: (616) 455-7370
Approximate (ZIP-level) locationGet directions
Mailing address
2024 Health Dr Sw Ste a
Wyoming, MI 49519-9501
Additional practice locations (1)
- 12715 W M 179 HwyWayland, MI 49348-9318Phone: (269) 792-9723
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Jackson Northouse's NPI number?
- Jackson Northouse's National Provider Identifier (NPI) is 1073443958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Northouse's specialty?
- Jackson Northouse is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jackson Northouse located?
- Jackson Northouse's practice location on file with NPPES is 2024 Health Dr Sw Ste a, Wyoming, MI 49519-9501.
- What is Jackson Northouse's phone number?
- The practice phone number listed in the NPPES registry for Jackson Northouse is (616) 455-7370.
- Is Jackson Northouse's NPI active?
- Yes — Jackson Northouse's NPI (1073443958) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.