JACKSON LEGGETT PORTER DDS
NPI 1013066265
Dentist in Beaumont, TX

Q: What is Jackson Porter's NPI number?

The NPI number for Jackson Porter is 1013066265. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Jackson Porter's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Porter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2007PECOS Enrolled

4180 DELAWARE ST, 303, BEAUMONT, TX 77706(409) 899-2111(409) 899-2821 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Leggett Porter Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON LEGGETT PORTER DDS (NPI 1013066265) is an individual dentist in Beaumont, Texas, licensed in Texas (12315) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013066265

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACKSON LEGGETT PORTERCredential: DDS

Location Address4180 DELAWARE ST, 303Beaumont, TX 77706-7858

Mailing Address4180 Delaware, 303Beaumont, TX 77706 · (409) 899-2111 · Fax (409) 899-2821

Phone(409) 899-2111

Fax(409) 899-2821

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013066265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 12315

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4180 DELAWARE ST, Beaumont, TX 77706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Leggett Porter Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SURESH B INDUPALLI M.D.

Family Medicine

4180 DELAWARE ST, SUITE 102
BEAUMONT, TX 77706

Jefferson County (409) 835-4907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Porter's NPI number?

The NPI number for Jackson Porter is 1013066265. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jackson Porter located?

Jackson Porter practices at 4180 Delaware St 303, Beaumont, TX 77706. The listed phone number is (409) 899-2111.

What is Jackson Porter's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jackson Porter enrolled in Medicare?

Yes. Jackson Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Porter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.