Brandon Jackson, D.D.S
NPI 1861753949 · Pediatric Dentistry · Staten Island, NY
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Jackson, D.D.S is a Pediatric Dentistry provider in Staten Island, NY (NPI 1861753949).
Provider details
- NPI number
- 1861753949
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2015-09-15
Frequently asked questions
- What is Brandon Jackson's NPI number?
- Brandon Jackson's National Provider Identifier (NPI) is 1861753949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Jackson's specialty?
- Brandon Jackson is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Brandon Jackson located?
- Brandon Jackson's practice location on file with NPPES is 70 Virginia Ave, Staten Island, NY 10305-1748.
- What is Brandon Jackson's phone number?
- The practice phone number listed in the NPPES registry for Brandon Jackson is (718) 226-8851.
- Does Brandon Jackson accept Medicare?
- Brandon Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brandon Jackson's NPI active?
- Yes — Brandon Jackson's NPI (1861753949) is active in the NPPES registry as of the last update on 2015-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.