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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRIAN E JACKSON DDS
NPI 1689665408
Dentist in Willoughby Hills, OH

Active since November 01, 2005PECOS Enrolled
2775 BISHOP RD, SUITE C, WILLOUGHBY HILLS, OH 44092(440) 944-7775(440) 944-7887 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2026, Apr 24, 2019 (2 updates tracked since 2019).

About Dr. Brian E Jackson Dds NPPES

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

DR. BRIAN E JACKSON DDS (NPI 1689665408) is an individual dentist in Willoughby Hills, Ohio, licensed in Ohio (19620) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689665408
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRIAN E JACKSONCredential: DDS
Location Address2775 BISHOP RD, SUITE CWilloughby Hills, OH 44092-2683
Mailing Address2775 Bishop Rd Ste CWilloughby Hills, OH 44092-2683 · (440) 944-7775 · Fax (440) 944-7887
Phone(440) 944-7775
Fax(440) 944-7887
Sole ProprietorYes
Enumeration DateNovember 1, 2005
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1689665408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 19620
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 19620 (OH)
2775 BISHOP RD, Willoughby Hills, OH 44092
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Other Identifiers 1

Medicaid0879287OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Brian E 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 44092 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

DR. RONALD PAUL LEMMO DDS
Dentist (General Practice)
2775 BISHOP RD
WICKLIFFE, OH 44092
Lake County (440) 944-0008
DR. DAVID MARK WILLEN D.D.S.
Dentist
2775 BISHOP RD, SUITE C
WICKLIFFE, OH 44092
Lake County (440) 944-7775
BRIAN E JACKSON DDS LLC
Dentist
2775 BISHOP RD, SUITE C
WILLOUGHBY HILLS, OH 44092
Lake County (440) 944-7775

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 Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1689665408. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Brian Jackson located?

Brian Jackson practices at 2775 Bishop Rd Suite C, Willoughby Hills, OH 44092. The listed phone number is (440) 944-7775.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brian Jackson enrolled in Medicare?

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

What insurance does Brian Jackson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 7 other insurers list Brian 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 Brian Jackson was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.