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ERIC JACKSON D.D.S.
NPI 1104949171
Dentist - General Practice in Downers Grove, IL

Active since April 06, 2007Opted out of Medicare · through Dec 28, 2027
2033 OGDEN AVE, DOWNERS GROVE, IL 60515(630) 963-6750(630) 963-6761 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Jackson D.d.s. NPPES

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

ERIC JACKSON D.D.S. (NPI 1104949171) is an individual general practice provider in Downers Grove, Illinois, licensed in Illinois (019026703) and active in the NPI registry since April 2007. He has opted out of Medicare through December 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104949171
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameERIC JACKSONCredential: D.D.S.
Location Address2033 OGDEN AVEDowners Grove, IL 60515-2601
Mailing Address2033 Ogden AveDowners Grove, IL 60515-2601 · (630) 963-6750 · Fax (630) 963-6761
Phone(630) 963-6750
Fax(630) 963-6761
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateMay 5, 2009
✔ NPI 1104949171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019026703
Definition
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.
2033 OGDEN AVE, Downers Grove, IL 60515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Eric Jackson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 28, 2017 through December 28, 2027.

Opt-Out Effective DateDecember 28, 2017
Opt-Out In Effect ThroughDecember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 2

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

ORAL HEALTHCARE PROFESSIONALS
Dentist (General Practice)
2033 OGDEN AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 963-6750
DR. PATRICK MICHAEL OFLAHERTY DDS
Dentist (General Practice)
2033 OGDEN AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 963-6750

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 Eric Jackson's NPI number?

The NPI number for Eric Jackson is 1104949171. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Eric Jackson located?

Eric Jackson practices at 2033 Ogden Ave, Downers Grove, IL 60515. The listed phone number is (630) 963-6750.

What is Eric Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eric Jackson enrolled in Medicare?

No. Eric Jackson has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Eric Jackson accept?

Health plans from Humana list Eric Jackson 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 Eric Jackson was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.