OrganizationActive
Jackson Periodontics
NPI 1427143643 · Periodontics · Greenwood, IN
Jackson Periodontics is a Periodontics organization in Greenwood, IN (NPI 1427143643).
Provider details
- NPI number
- 1427143643
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kristin Jackson, Owner(317) 887-3180
- License
- 12009767 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
45 N Madison Ave
Greenwood, IN 46142-3526
Phone: (317) 887-3180
Fax: (317) 882-2718
Street-level locationGet directions
Mailing address
45 N Madison Ave
Greenwood, IN 46142-3526
Other names (DBA / former)
- Doing business as
- Indiana Periodontics
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2011-06-16
Frequently asked questions
- What is Jackson Periodontics's NPI number?
- Jackson Periodontics's National Provider Identifier (NPI) is 1427143643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Periodontics?
- Jackson Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Jackson Periodontics located?
- Jackson Periodontics's practice location on file with NPPES is 45 N Madison Ave, Greenwood, IN 46142-3526.
- What is Jackson Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Jackson Periodontics is (317) 887-3180.
- Who is the authorized official for Jackson Periodontics?
- The authorized official listed on Jackson Periodontics's NPPES record is Kristin Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Periodontics's NPI active?
- Yes — Jackson Periodontics's NPI (1427143643) is active in the NPPES registry as of the last update on 2011-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.