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DR. TANISHA A JACKSON DDS
NPI 1629183777
Dentist - General Practice in Irvine, CA

Active since August 20, 2006PECOS Enrolled
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606(714) 508-3600(714) 368-2092 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tanisha A Jackson Dds NPPES

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

DR. TANISHA A JACKSON DDS (NPI 1629183777) is an individual general practice provider in Irvine, California, licensed in California (47103) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629183777
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TANISHA A JACKSONCredential: DDS
Location Address2860 MICHELLE, 2ND FLOORIrvine, CA 92606-1009
Mailing Address422 Orange StRedlands, CA 92374-3206 · (909) 792-7500 · Fax (909) 792-7503
Phone(714) 508-3600
Fax(714) 368-2092
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629183777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47103
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.
2860 MICHELLE, Irvine, CA 92606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Tanisha A 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92606 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 13

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

DR. DEAN LAMBRIDIS DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. KEITH A JOHNSON DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. CHARLES F. RODGERS DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. ALEX R. SHARIFIAN DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. NOOR J RAHIMI DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. PATRICK L HUSTON DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. ANDREA C MOORE DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600
DR. DARIN S. REAGAN DDS
Dentist (General Practice)
2860 MICHELLE, 2ND FLOOR
IRVINE, CA 92606
Orange County (714) 508-3600

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 Tanisha Jackson's NPI number?

The NPI number for Tanisha Jackson is 1629183777. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Tanisha Jackson located?

Tanisha Jackson practices at 2860 Michelle 2nd Floor, Irvine, CA 92606. The listed phone number is (714) 508-3600.

What is Tanisha Jackson's specialty?

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

Is Tanisha Jackson enrolled in Medicare?

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

What insurance does Tanisha Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 17 other insurers list Tanisha 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 Tanisha Jackson 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.