DR. JOHN PATTERSON DDS
NPI 1710921135
Dentist in Jackson, MS

Active since June 15, 2006PECOS Enrolled
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-2600 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Patterson Dds NPPES

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

DR. JOHN PATTERSON DDS (NPI 1710921135) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (2030-83) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710921135
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN PATTERSONCredential: DDS
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-2600
Fax(601) 364-2600
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 20, 2007
NPI 1710921135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · 2030-83
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.

3502 W NORTHSIDE DR, Jackson, MS 39213

Other Identifiers 1

Medicaid00060027MS

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. John Patterson 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 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 20

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

Clinical Medical Laboratory
3502 W NORTHSIDE DR
JACKSON, MS 39213
Obstetrics & Gynecology
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Optometrist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Pediatrics)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Pediatrics
3502 W NORTHSIDE DR
JACKSON, MS 39213

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 John Patterson's NPI number?

The NPI number for John Patterson is 1710921135. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is John Patterson located?

John Patterson practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is John Patterson's specialty?

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

Is John Patterson enrolled in Medicare?

Yes. John Patterson is registered in the Medicare PECOS enrollment system.

What insurance does John Patterson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 14 other insurers list John Patterson 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 John Patterson was last updated on December 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.