NPPES file of Aug 9, 2026

Ron Darryl Jackson, DDS

Dentist · Saint Louis, MO

Ron Darryl Jackson, DDS is a dentist with a practice address in Saint Louis, Missouri, and NPI 1871586990, issued on Aug 24, 2005. Check the license (Missouri 012608, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871586990
Name
Ron Darryl Jackson
Credential
DDS
Primary taxonomy
Dentist 122300000X
License number
012608 MO
Self-reported in NPPES; status is on the state search
Practice location
5471 Dr Martin Luther King Dr, Saint Louis, MO 63112
Phone
(314) 367-5820
Enumerated
Aug 24, 2005
Record last updated
Jun 17, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(314) 367-7010
Medicaid IDs
403231020 MO
403231038 MO
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 5471 Dr Martin Luther King Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Modupe Aderibigbe, D.P.M.Podiatrist1407092927
  2. Sabina Aderibigbe, FNPFamily Nurse Practitioner1952507873
  3. Cathleen Al Samaraiy, LPNLicensed Practical Nurse1093088700
  4. Nina AllenRegistered Nurse1912383829
  5. Shabana Amir, RPHPharmacist1417364902
  6. Regina Askew, MHA,MAProfessional Counselor1609281336

Verify Ron Darryl Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 012608
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Ron Darryl Jackson among 1,647 dentist records in Missouri

Ron Darryl Jackson, DDS is one of 1,647 dentist records with a practice address in Missouri. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 96% newer
  • In a Medicare fileNo · 62% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2010 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dentist providers in Missouri

There are 1,647 dentist records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 dentist records with the nearest ZIP codes

  1. Nawal Ahmed, DMDSaint Louis, MO 631121710989504
  2. Carla Daugherty, DDSSt Louis, MO 631121003874066
  3. Morton Friedman, D.D.S.Saint Louis, MO 631121639343551
  4. Veronica Gregory, D.D.S.Saint Louis, MO 631121245647254
  5. Elena Ignatova, D.D.SSaint Louis, MO 631121093099830
  6. Sarah Keller, M.D.Saint Louis, MO 631121114150059
  7. Quaneedria Logan, D.D.S.Saint Louis, MO 631121407005275
  8. Reesa Mercado, DMDSaint Louis, MO 631121184084659

Common questions

What is Ron Darryl Jackson, DDS's NPI number?

Ron Darryl Jackson, DDS's National Provider Identifier (NPI) is 1871586990, issued on Aug 24, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Ron Darryl Jackson, DDS located?

The NPPES record lists a practice address at 5471 Dr Martin Luther King Dr, Saint Louis, MO, 63112. Phone: (314) 367-5820. Providers update this record themselves, so call before visiting.

How can I verify Ron Darryl Jackson, DDS's license?

NPPES lists Missouri license number 012608, as entered by the provider. Search the Missouri 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. 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.