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NPI profile

RICHARD JACKSON

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundclearNPI API source

Identity

NPI
1407859424
Entity type
NPI-1
Primary taxonomy
213E00000X
NPI source updated
Nov 07, 2016
Enumeration date
May 23, 2005
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

No current OIG match foundConfidence: none

No OIG LEIE match found in the current imported dataset. Verify against the official OIG source for compliance decisions.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING2604368686
LOCATION2604368686

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.