Clayton Jackson, DMD, MSD
NPI 1225692361 · Pediatric Dentistry · Louisville, KY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clayton Jackson, DMD, MSD is a Pediatric Dentistry provider in Louisville, KY (NPI 1225692361).
Provider details
- NPI number
- 1225692361
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD, MSD
- Sex
- Male
- Sole proprietor
- No
- License
- 12013287A (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Mailing address
Additional practice locations (2)
- 4317 Charlestown RdNew Albany, IN 47150-8506Phone: (812) 258-9626
- 98 C Michael Davenport BlvdFrankfort, KY 40601-4333Phone: (502) 223-7186Fax: (502) 996-8338
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2023-01-17
- Certified
- 2022-11-18
Frequently asked questions
- What is Clayton Jackson's NPI number?
- Clayton Jackson's National Provider Identifier (NPI) is 1225692361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clayton Jackson's specialty?
- Clayton Jackson is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Clayton Jackson located?
- Clayton Jackson's practice location on file with NPPES is 3934 Dutchmans Ln, Louisville, KY 40207-4702.
- What is Clayton Jackson's phone number?
- The practice phone number listed in the NPPES registry for Clayton Jackson is (502) 897-0625.
- Does Clayton Jackson accept Medicare?
- Clayton Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clayton Jackson's NPI active?
- Yes — Clayton Jackson's NPI (1225692361) is active in the NPPES registry as of the last update on 2023-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.