JACKIE LEE MCKINNIS D.D.S.
NPI 1326066291
Dentist - General Practice in Lawton, OK

Q: What is Jackie Mckinnis's NPI number?

The NPI number for Jackie Mckinnis is 1326066291. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Jackie Mckinnis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackie Mckinnis was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 18, 2006PECOS Enrolled

2101 NW FERRIS AVE, LAWTON, OK 73507(580) 357-1581(580) 357-4123 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Lee Mckinnis D.d.s. NPPES

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

JACKIE LEE MCKINNIS D.D.S. (NPI 1326066291) is an individual general practice provider in Lawton, Oklahoma, licensed in Oklahoma (3118) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326066291

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACKIE LEE MCKINNISCredential: D.D.S.

Location Address2101 NW FERRIS AVELawton, OK 73507

Mailing Address2101 Nw. Ferris AveLawton, OK 73507 · (580) 357-1581 · Fax (580) 357-4123

Phone(580) 357-1581

Fax(580) 357-4123

Sole ProprietorYes

Enumeration DateJuly 18, 2006

Last NPPES UpdateMarch 14, 2016

✔ NPI 1326066291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 3118

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.

2101 NW FERRIS AVE, Lawton, OK 73507

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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 Alabama.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)

Jackie Lee Mckinnis 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 73507 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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 Mckinnis's NPI number?

The NPI number for Jackie Mckinnis is 1326066291. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jackie Mckinnis located?

Jackie Mckinnis practices at 2101 NW Ferris Ave, Lawton, OK 73507. The listed phone number is (580) 357-1581.

What is Jackie Mckinnis's specialty?

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

Is Jackie Mckinnis enrolled in Medicare?

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

What insurance does Jackie Mckinnis accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jackie Mckinnis 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 Mckinnis was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.