Courtney Matthew Jackson, D.D.S.
Pediatric Dentistry · Rexburg, ID
Courtney Matthew Jackson, D.D.S. is a pediatric dentistry with a practice address in Rexburg, Idaho, and NPI 1972864825, issued on Jun 6, 2012. Check the license (Idaho D-4655-PD, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Courtney Matthew Jackson
- Credential
- D.D.S.
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License numbers
- D-4655-PD ID
1433 WY
Self-reported in NPPES; status is on the state search - Practice location
- 859 S Yellowstone Hwy Ste 1202, Rexburg, ID 83440
- Phone
- (208) 552-5439
- Enumerated
- Jun 6, 2012
- Record last updated
- Feb 3, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (208) 552-5440
- Entity
- Type 1 · individual
Verify Courtney Matthew Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license D-4655-PDCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $295.20
1 payment: travel and lodging; the largest payer was Benco Dental Supply Co. The 2,607 providers of this specialty with any payment received $434.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Pediatric Dentistry providers in Idaho
There are 56 pediatric dentistry records in Idaho.
Other pediatric dentistry records in Idaho
- Thomas Baker, D.M.DIdaho Falls, ID1376969360
- Bradley Barlow, DDSPost Falls, ID1346268208
- Devin Belnap, DMDPocatello, ID1093247462
- Kory Bingham, DDSRigby, ID1124183207
- Randall Blair, DMDMeridian, ID1659546174
- Morgen Bybee, DDSPocatello, ID1598048969
- Amanda Caswell-Burt, DDSSandpoint, ID1942598040
- Brock ColettiMeridian, ID1720447097
- Dallin Dance, DDSHayden, ID1982012498
- Thomas Dance, DDSHayden, ID1518165430
Common questions
What is Courtney Matthew Jackson, D.D.S.'s NPI number?
Courtney Matthew Jackson, D.D.S.'s National Provider Identifier (NPI) is 1972864825, issued on Jun 6, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Courtney Matthew Jackson, D.D.S. located?
The NPPES record lists a practice address at 859 S Yellowstone Hwy Ste 1202, Rexburg, ID, 83440. Phone: (208) 552-5439. Providers update this record themselves, so call before visiting.
How can I verify Courtney Matthew Jackson, D.D.S.'s license?
NPPES lists Idaho license number D-4655-PD, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.