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DR. RYAN MICHAEL JACK D.D.S., M.S.
NPI 1538130752
Dentist - Endodontics in Colorado Springs, CO

Active since January 27, 2006PECOS Enrolled
8580 SCARBOROUGH DR, #200, COLORADO SPRINGS, CO 80920(719) 282-6600 Get Directions Write a Review

NPPES record last updated: June 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ryan Michael Jack D.d.s., M.s. NPPES

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

DR. RYAN MICHAEL JACK D.D.S., M.S. (NPI 1538130752) is an individual endodontics provider in Colorado Springs, Colorado, licensed in Colorado (10046) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538130752
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RYAN MICHAEL JACKCredential: D.D.S., M.S.
Location Address8580 SCARBOROUGH DR, #200Colorado Springs, CO 80920-7583
Mailing Address8580 Scarborough Dr, #200Colorado Springs, CO 80920-7583 · (719) 282-6600
Phone(719) 282-6600
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 27, 2010
✔ NPI 1538130752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CO · 10046✔ Licensed in FL · DN18177✔ Licensed in ID · D-3585
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
8580 SCARBOROUGH DR, Colorado Springs, CO 80920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Ryan Michael Jack D.d.s., M.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 80920 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 10

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

JAMES LEE MD PC
Ophthalmology
8580 SCARBOROUGH DR, SUITE 125
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-1211
MR. REAGAN B ANDERSON D.O.
Dermatology
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 531-5400
JAMES H LEE MD
Ophthalmology
8580 SCARBOROUGH DR, SUITE 125
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-1211
ROBERT CORR, PC
Clinic/Center (Dental)
8580 SCARBOROUGH DR, SUITE 201
COLORADO SPRINGS, CO 80920
El Paso County (909) 528-8416
BRIKLIN NIELSEN DDS, MS
Dentist (Pediatric Dentistry)
8580 SCARBOROUGH DR, SUITE 220
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-6666
RATIONAL DERMATOLOGY, PC
Dermatology
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 531-5400
JACK W TUBBS JR. M.D.
Obstetrics & Gynecology
8580 SCARBOROUGH DR, SUITE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 596-3344
MELINDA ANN RICHEY PA
Physician Assistant
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 359-9669

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 Ryan Jack's NPI number?

The NPI number for Ryan Jack is 1538130752. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Ryan Jack located?

Ryan Jack practices at 8580 Scarborough Dr #200, Colorado Springs, CO 80920. The listed phone number is (719) 282-6600.

What is Ryan Jack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ryan Jack enrolled in Medicare?

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

What insurance does Ryan Jack accept?

Health plans from Humana list Ryan Jack 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 Ryan Jack was last updated on June 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.