Family Medicine
DENNIS M JACKSON MD INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194969220 · enumerated 2009-04-20 · record updated 2009-04-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DENNIS JACKSON MD, PRESIDENT · (505) 490-9738
Addresses and phones
- Mailing address 5112 HOLLYWOOD BLVD, #111 PMB 106, LOS ANGELES, CA, 90027-6126 (505) 490-9738 Google Maps Apple Maps OpenStreetMap
- Practice location 460 SAINT MICHAELS DR, #1005, SANTA FE, NM, 87505-7619 (505) 490-9738 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 70142 NM
In this directory
Locations and evidence
-
Practice location
SANTA FE, NM, 875057619
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.