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DR. STEPHEN WILLIAM JAKSA D.D.S,
NPI 1225146855
Dentist - General Practice in White Bear Lake, MN

Active since August 25, 2006Opted out of Medicare · through Apr 26, 2027
4801 HIGHWAY 61 N, SUITE 301, WHITE BEAR LAKE, MN 55110(651) 762-8474(651) 762-7821 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Stephen William Jaksa D.d.s, NPPES

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

DR. STEPHEN WILLIAM JAKSA D.D.S, (NPI 1225146855) is an individual general practice provider in White Bear Lake, Minnesota, licensed in Minnesota (9008) and active in the NPI registry since August 2006. He has opted out of Medicare through April 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225146855
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHEN WILLIAM JAKSACredential: D.D.S,
Location Address4801 HIGHWAY 61 N, SUITE 301White Bear Lake, MN 55110-2737
Mailing Address4801 Highway 61 N, Suite 301White Bear Lake, MN 55110-2737 · (651) 762-8474 · Fax (651) 762-7821
Phone(651) 762-8474
Fax(651) 762-7821
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225146855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 9008
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.
4801 HIGHWAY 61 N, White Bear Lake, MN 55110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephen William Jaksa 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 April 26, 2015 through April 26, 2027.

Opt-Out Effective DateApril 26, 2015
Opt-Out In Effect ThroughApril 26, 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 55110 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 4

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

HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
Chiropractor
4801 HIGHWAY 61 N, 105
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-5433
DR. JOHN ROBERT LUNDSTROM D.C.
Chiropractor (Independent Medical Examiner)
4801 HIGHWAY 61 N, SUITE 100
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-5401
LUNDSTROM CHIROPRACTIC CENTERS, INC.
Clinic/Center
4801 HIGHWAY 61 N, SUITE 100
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-6401
DR. TY EVAN PAULICK D.C.
Chiropractor
4801 HIGHWAY 61 N, SUITE 105
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-5433

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 Stephen Jaksa's NPI number?

The NPI number for Stephen Jaksa is 1225146855. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Stephen Jaksa located?

Stephen Jaksa practices at 4801 Highway 61 N Suite 301, White Bear Lake, MN 55110. The listed phone number is (651) 762-8474.

What is Stephen Jaksa's specialty?

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

Is Stephen Jaksa enrolled in Medicare?

No. Stephen Jaksa has opted out of Medicare through April 26, 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 Stephen Jaksa 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 Stephen Jaksa 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 Stephen Jaksa 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.