DR. JASON ALAN FOWLER D.D.S.
NPI 1417205873
Dentist in Great Lakes, IL

Active since August 16, 2012PECOS Enrolled
2410 SAMPSON ST, BLDG. 237, GREAT LAKES, IL 60088(847) 688-3331 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jason Alan Fowler D.d.s. NPPES

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

DR. JASON ALAN FOWLER D.D.S. (NPI 1417205873) is an individual dentist in Great Lakes, Illinois, licensed in California (61748) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417205873
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JASON ALAN FOWLERCredential: D.D.S.
Location Address2410 SAMPSON ST, BLDG. 237Great Lakes, IL 60088-2942
Mailing Address419 Eucalyptus DrRedlands, CA 92373-7126 · (909) 709-6932
Sole ProprietorYes
Enumeration DateAugust 16, 2012
NPI 1417205873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 61748
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.

2410 SAMPSON ST, Great Lakes, IL 60088

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. Jason Alan Fowler 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 60088 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 20

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

General Practice
2410 SAMPSON ST, FISHER CLINIC, BLDG 237
GREAT LAKES, IL 60088
Optometrist
2410 SAMPSON ST, BLDG. 237
GREAT LAKES, IL 60088
Dentist (General Practice)
2410 SAMPSON ST, DENTAL CLINIC
GREAT LAKES, IL 60088
General Practice
2410 SAMPSON ST
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
2410 SAMPSON ST, FISHER BMC #237
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
2410 SAMPSON ST, BLDG 237
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
2410 SAMPSON ST
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
2410 SAMPSON ST, BLDG 237
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417205873, enumerated as an "individual" on August 16, 2012.

The provider is located at 2410 SAMPSON ST BLDG. 237 GREAT LAKES, IL 60088 and the phone number is (847) 688-3331.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.