IndividualActive
Kenneth Jackson, MD
NPI 1578621843 · Orthopaedic Surgery Physician · Fairfax, VA
Kenneth Jackson, MD is a Orthopaedic Surgery Physician provider in Fairfax, VA (NPI 1578621843).
Provider details
- NPI number
- 1578621843
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101038325 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12255 Fair Lakes Parkway
Fairfax, VA 22033-3952
Phone: (703) 934-5905
Fax: (703) 934-5778
Street-level locationGet directions
Mailing address
Kaiser Permanente Mid Atlantic Permanente Medical Group
Rockville, MD 20852-4908
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1578621843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (703) 934-5905.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1578621843) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.