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

Dr. Dane William Jackson, MD

Individual provider Diagnostic Radiology Physician · NPI 1952724361

Dr. Dane William Jackson, MD is a Diagnostic Radiology in Coeur D Alene, Idaho. Graduated from University of California, Davis School of Medicine in 2015, 11 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Trained at
University of California, Davis School of Medicine
Licensed in
ID
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6300
Fax: (208) 625-6301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-6300
  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-17814 (ID)

Record details

NPI number1952724361
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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