What is Dezjuan Jackson's NPI number?

Dezjuan Jackson's National Provider Identifier (NPI) is 1679073183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dezjuan Jackson's specialty?

Dezjuan Jackson is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier (Suppliers).

Where is Dezjuan Jackson located?

Dezjuan Jackson's practice location on file with NPPES is 10461 N May Ave, Oklahoma City, OK 73120-2610.

What is Dezjuan Jackson's phone number?

The practice phone number listed in the NPPES registry for Dezjuan Jackson is (405) 543-6314.

Is Dezjuan Jackson's NPI active?

Yes — Dezjuan Jackson's NPI (1679073183) is active in the NPPES registry as of the last update on 2018-02-20.

IndividualActive

Dezjuan Jackson

NPI 1679073183 · Prosthetic/Orthotic Supplier · Oklahoma City, OK

Dezjuan Jackson is a Prosthetic/Orthotic Supplier provider in Oklahoma City, OK (NPI 1679073183).

Provider details

NPI number: 1679073183
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000XLicense 314007 (OK)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% 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

10461 N May Ave

Oklahoma City, OK 73120-2610

Phone: (405) 543-6314

Street-level locationGet directions

More OK providers

Mailing address