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DR. JOHN ANDREW JACKSON D.D.S.
NPI 1720162779
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since October 25, 2006PECOS Enrolled
600 DIVISION AVE, SUITE E., SAN ANTONIO, TX 78214(210) 924-4279(210) 924-4270 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Andrew Jackson D.d.s. NPPES

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

DR. JOHN ANDREW JACKSON D.D.S. (NPI 1720162779) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (D14522) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720162779
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN ANDREW JACKSONCredential: D.D.S.
Location Address600 DIVISION AVE, SUITE E.San Antonio, TX 78214-1350
Mailing Address600 Division Ave, Suite E.San Antonio, TX 78214-1350 · (210) 924-4279 · Fax (210) 924-4270
Phone(210) 924-4279
Fax(210) 924-4270
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720162779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · D14522
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
600 DIVISION AVE, San Antonio, TX 78214
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Other Identifiers 3

Other784161TX · United Concordia
Medicaid1306300-05TX
Other742713545TX · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. John Andrew Jackson 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 78214 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

DR. JESUS PERALEZ JR. DDS
Dentist (General Practice)
600 DIVISION AVE
SAN ANTONIO, TX 78214
Bexar County (210) 924-7277
KARISHMA PATEL YAKKALA D.C.
Chiropractor
600 DIVISION AVE, SUITE G
SAN ANTONIO, TX 78214
Bexar County (210) 332-9005
ALMA L. AGUADO, M.D., P.A.
Internal Medicine
600 DIVISION AVE, SUITE G
SAN ANTONIO, TX 78214
Bexar County (210) 924-6649
PAN AM DENTAL LP
Clinic/Center
600 DIVISION AVE, SUITE A
SAN ANTONIO, TX 78214
Bexar County (210) 342-2000

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 Jackson's NPI number?

The NPI number for John Jackson is 1720162779. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is John Jackson located?

John Jackson practices at 600 Division Ave Suite E., San Antonio, TX 78214. The listed phone number is (210) 924-4279.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Jackson enrolled in Medicare?

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

What insurance does John Jackson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Guardian and 4 other insurers list John 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 John Jackson was last updated on July 9, 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.