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DR. HARRY J. JACKSON DDS
NPI 1376505578
Dentist - Oral and Maxillofacial Surgery in Honolulu, HI

Active since April 04, 2006PECOS Enrolled
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD, HONOLULU, HI 96859(808) 433-2444 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Harry J. Jackson Dds NPPES

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

DR. HARRY J. JACKSON DDS (NPI 1376505578) is an individual oral and maxillofacial surgery provider in Honolulu, Hawaii, licensed in Hawaii (2962) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376505578
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. HARRY J. JACKSONCredential: DDS
Location AddressTRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROADHonolulu, HI 96859
Mailing AddressTripler Army Medical Center, 1 Jarrett White RoadHonolulu, HI 96859 · (808) 433-2444
Phone(808) 433-2444
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1376505578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in HI · 2962
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 21804 (TX)
TRIPLER ARMY MEDICAL CENTER, Honolulu, HI 96859
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harry J. Jackson 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Harry Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hawaii Permanente Medical Group Inc
0.6 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000
Hawaii Elite Oms LLC
2.9 mi
Oral and Maxillofacial Surgery
930 VALKENBURGH ST SPC 206
Honolulu, HI 96818
  • Reassigned Medicare billing, Hawaii enrollment
  • 2 clinicians in this Medicare group
NPI 1114816105 (808) 342-5920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 20

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

DR. JEREMY WILLIAM DOCEKAL M.D.
Internal Medicine (Cardiovascular Disease)
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE RD
HONOLULU, HI 96859
Honolulu County (808) 683-2778
DR. AFSHIN K AFARIN M.D.
Radiology (Diagnostic Radiology)
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD
HONOLULU, HI 96859
Honolulu County (888) 683-2778
MS. CHRISTINE PIPER R.N.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
TRIPLER ARMY MEDICAL CENTER
HONOLULU, HI 96859
Honolulu County (808) 433-8600
KENNETH KOPF LINDELL M.D.
Radiology (Diagnostic Radiology)
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD
HONOLULU, HI 96859
Honolulu County (808) 433-6669
MS. AEDUK NM KO RPH
Pharmacist
TRIPLER ARMY MEDICAL CENTER, PHARMACY SERVICE
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6337
JULIE ANN WARNER RN
Registered Nurse (Obstetric, Inpatient)
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-2460
MS. ELIZABETH P.L. CROSS NP
Nurse Practitioner (Family)
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE RD
HONOLULU, HI 96859
Honolulu County (808) 433-9053
JACY L CAMPBELL LMFT, CSAC
Marriage & Family Therapist
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD
HONOLULU, HI 96859
Honolulu County (808) 655-6975

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 Harry Jackson's NPI number?

The NPI number for Harry Jackson is 1376505578. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Harry Jackson located?

Harry Jackson practices at Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859. The listed phone number is (808) 433-2444.

What is Harry Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Harry Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Harry Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harry Jackson reassigns Medicare benefits to 2 organizations: Hawaii Permanente Medical Group Inc (Honolulu, HI) and Hawaii Elite Oms LLC (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harry Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harry Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Harry 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 Harry Jackson was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.