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Deactivated NPI 1295882306 Deactivated / Inactive NPI Male Practitioner

Dr. Jackson Karl Meadows , DMD

Dentist - General Practice • Tualatin, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jackson Meadows has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2007
NPI Deactivation Date October 30, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Meadows, DMD was a registered Dentist - General Practice practicing in Tualatin, OR. Throughout an active medical career spanning 18 years, Dr. Meadows provided care at the practice location at 18795 SW BOONES FERRY RD until profile deactivation on 2025-10-30.

Practice Location & Contact Primary Location

Practice Address

18795 Sw Boones Ferry Rd
Suite 1

Tualatin, OR 970628412

Telephone 5036923114

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tualatin, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Tualatin, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D4153

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Amy Trevor , DMD

Dentist - General Practice

NPI 1275960296

Doctor of Dental Medicine

Dr. Candace Peterson , DMD

Dentist - General Practice

NPI 1780682526

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 30, 2025

Record deactivated on October 30, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 18795 SW BOONES FERRY RD, SUITE 1, TUALATIN, OR 970628412 (Tel: 5036923114)

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Updated Business Mailing Address July 08, 2007

Registered at 18795 SW BOONES FERRY RD, SUITE 1, TUALATIN, OR 970628412 (Tel: 5036923114)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACKSON MEADOWS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D4153 in OR)

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Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295882306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: July 08, 2007
Deactivation Date: October 30, 2025

Mailing Address

18795 Sw Boones Ferry Rd, Suite 1

Tualatin, OR 970628412

Phone: 5036923114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.