JACK B SIEGRIST JR. D.D.S.
NPI 1457484461
Dentist - General Practice in Irving, TX

Q: What is Jack Siegrist's NPI number?

The NPI number for Jack Siegrist is 1457484461. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Jack Siegrist'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 Jack Siegrist 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.

Active since March 13, 2007PECOS Enrolled

5205 N O CONNOR BLVD, #150, IRVING, TX 75039(972) 556-2122(972) 556-2331 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jack B Siegrist Jr. D.d.s. NPPES

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

JACK B SIEGRIST JR. D.D.S. (NPI 1457484461) is an individual general practice provider in Irving, Texas, licensed in Texas (9950) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457484461

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK B SIEGRIST JR.Credential: D.D.S.

Location Address5205 N O CONNOR BLVD, #150Irving, TX 75039-3707

Mailing Address2100 Tree Top CtGranbury, TX 76049-8067 · (972) 556-2122 · Fax (972) 556-2331

Phone(972) 556-2122

Fax(972) 556-2331

Sole ProprietorYes

Enumeration DateMarch 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457484461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 9950

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.

5205 N O CONNOR BLVD, Irving, TX 75039

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO.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)

Jack B Siegrist Jr. 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 75039 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 Jack Siegrist's NPI number?

The NPI number for Jack Siegrist is 1457484461. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Jack Siegrist located?

Jack Siegrist practices at 5205 N O Connor Blvd #150, Irving, TX 75039. The listed phone number is (972) 556-2122.

What is Jack Siegrist's specialty?

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

Is Jack Siegrist enrolled in Medicare?

Yes. Jack Siegrist is registered in the Medicare PECOS enrollment system.

What insurance does Jack Siegrist accept?

Health plans from Delta Dental PPO list Jack Siegrist 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 Jack Siegrist 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.