DR. JACKIE RAE NORD D.D.S.
NPI 1043467152
Dentist in Grand Forks, ND

Active since August 20, 2008PECOS Enrolled
212 S 4TH ST, SUITE 101, GRAND FORKS, ND 58201(701) 757-2100 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jackie Rae Nord D.d.s. NPPES

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

DR. JACKIE RAE NORD D.D.S. (NPI 1043467152) is an individual dentist in Grand Forks, North Dakota, licensed in North Dakota (2108) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043467152
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JACKIE RAE NORDCredential: D.D.S.
Location Address212 S 4TH ST, SUITE 101Grand Forks, ND 58201-4777
Mailing Address212 S 4th St Ste 200Grand Forks, ND 58201-4781 · (701) 757-2100 · Fax (701) 757-0305
Sole ProprietorNo
Enumeration DateAugust 20, 2008
Last NPPES UpdateOctober 14, 2019
NPI 1043467152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ND · 2108
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.
212 S 4TH ST, Grand Forks, ND 58201

Other Identifiers 2

Medicaid40011ND
Medicaid1043467152MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jackie Rae Nord D.d.s. 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 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 8

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

Social Worker
212 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Clinic/Center (Federally Qualified Health Center (FQHC))
212 S 4TH ST, SUITE 301
GRAND FORKS, ND 58201
Social Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201
Clinic/Center (Federally Qualified Health Center (FQHC))
212 S 4TH ST, SUITE 101
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
212 S 4TH ST
GRAND FORKS, ND 58201
Community Health Worker
212 S 4TH ST
GRAND FORKS, ND 58201

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 Jackie Nord's NPI number?

The NPI number for Jackie Nord is 1043467152. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Jackie Nord located?

Jackie Nord practices at 212 S 4th St Suite 101, Grand Forks, ND 58201. The listed phone number is (701) 757-2100.

What is Jackie Nord's specialty?

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

Is Jackie Nord enrolled in Medicare?

Yes. Jackie Nord is registered in the Medicare PECOS enrollment system.

What insurance does Jackie Nord accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jackie Nord as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Nord was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.