Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis N. Jackson, MD

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1063039824

Dennis N. Jackson, MD is a Sports Medicine in Salt Lake City, Utah. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with University Medical Center of Southern Nevada, a 388-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois, Nevada and Utah.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
IL, NV, UT
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1045 W Stephenson St, Freeport, IL 61032-4899 — (815) 599-6000
  • 1045 W Stephenson St, Freeport, IL 61032-4899 — (815) 599-6000
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 461-6194
  • 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 — (702) 383-1958

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 27025 (NV)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 13323091-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036172023 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 13323091-1205 (UT)

Record details

NPI number1063039824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2020
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Medical Center Of Southern Nevada — 388 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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