IndividualActive
Kevin Jackson, D.D.S.
NPI 1174867634 · Dentist · Alexandria, VA
Kevin Jackson, D.D.S. is a Dentist provider in Alexandria, VA (NPI 1174867634).
Provider details
- NPI number
- 1174867634
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 0401006933 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
8101 Hinson Farm Rd Ste 216
Alexandria, VA 22306-3406
Phone: (703) 360-6455
Approximate (ZIP-level) locationGet directions
Mailing address
8101 Hinson Farm Rd Ste 216
Alexandria, VA 22306-3406
Registry dates
- Enumerated
- 2012-11-21
- Last updated
- 2012-11-21
Frequently asked questions
- What is Kevin Jackson's NPI number?
- Kevin Jackson's National Provider Identifier (NPI) is 1174867634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Jackson's specialty?
- Kevin Jackson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kevin Jackson located?
- Kevin Jackson's practice location on file with NPPES is 8101 Hinson Farm Rd Ste 216, Alexandria, VA 22306-3406.
- What is Kevin Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Jackson is (703) 360-6455.
- Is Kevin Jackson's NPI active?
- Yes — Kevin Jackson's NPI (1174867634) is active in the NPPES registry as of the last update on 2012-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.