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BRIAN JAMES JACKSON DDS
NPI 1770655979
Dentist - Oral and Maxillofacial Pathology in Olympia, WA

Active since November 14, 2006Opted out of Medicare · through Jun 16, 2028
3924 MARTIN WAY E, OLYMPIA, WA 98506(360) 456-8610(360) 493-8179 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian James Jackson Dds NPPES

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

BRIAN JAMES JACKSON DDS (NPI 1770655979) is an individual oral and maxillofacial pathology provider in Olympia, Washington, licensed in Washington (6128) and active in the NPI registry since November 2006. He has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770655979
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameBRIAN JAMES JACKSONCredential: DDS
Location Address3924 MARTIN WAY EOlympia, WA 98506-5220
Mailing Address3924 Martin Way EOlympia, WA 98506-5220 · (360) 456-8610 · Fax (360) 493-8179
Phone(360) 456-8610
Fax(360) 493-8179
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 7, 2008
✔ NPI 1770655979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in WA · 6128
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
3924 MARTIN WAY E, Olympia, WA 98506
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Other Identifiers 2

Medicare PING8867313WA
Medicaid5030374WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brian James Jackson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2016 through June 16, 2028.

Opt-Out Effective DateJune 16, 2016
Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

CABEL ARON MCDONALD DDS PLLC
Dentist (Oral and Maxillofacial Surgery)
3924 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (253) 459-5483
ORAL SURGERY ASSOCIATES INC.
Dentist (Oral and Maxillofacial Pathology)
3924 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 456-8610
GERALD GEORGE DOLGASH DDS
Dentist (Oral and Maxillofacial Pathology)
3924 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 456-8610
SARAH LAWSON DDS, PLLC
Dentist (Oral and Maxillofacial Surgery)
3924 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 456-8610

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 1770655979. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Brian Jackson located?

Brian Jackson practices at 3924 Martin Way E, Olympia, WA 98506. The listed phone number is (360) 456-8610.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Brian Jackson enrolled in Medicare?

No. Brian Jackson has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brian Jackson was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.