P Praxis·MD
● Active Type 1 · Individual

Amy Jackson

Dentist·San Antonio, TX· NPI 1881754877 · Enumerated 2006 · 19 years on NPI
Jackson is 1 of 158 dentist providers in San Antonio and 1 of 1850 in Texas.
NPI age
19 years
Enumerated 2006-12-11
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-07-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
14855 Blanco Rd Ste 109
San Antonio, TX 782167728
📞 2104936067
Mailing address
14855 Blanco Rd Ste 109
San Antonio, TX 782167728
📞 2104936067

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    TX license #22622 taxonomy 1223X0400X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 2 new dentist providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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