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DR. RICHARD EDWIN JACKSON DMD
NPI 1801810163
Dentist - General Practice in Lexington, SC

Active since July 27, 2006PECOS Enrolled
109 TIMBERMILL DR, LEXINGTON, SC 29073(803) 957-2297(803) 957-4178 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. Richard Edwin Jackson Dmd NPPES

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

DR. RICHARD EDWIN JACKSON DMD (NPI 1801810163) is an individual general practice provider in Lexington, South Carolina, licensed in South Carolina (2037) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801810163
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD EDWIN JACKSONCredential: DMD
Location Address109 TIMBERMILL DRLexington, SC 29073-7138
Mailing Address109 Timbermill DrLexington, SC 29073-7138 · (803) 957-2297 · Fax (803) 957-4178
Phone(803) 957-2297
Fax(803) 957-4178
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801810163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 2037
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.
109 TIMBERMILL DR, Lexington, SC 29073
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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. Richard Edwin Jackson Dmd 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 29073 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 2

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

GENTLE DENTISTRY OF LEXINGTON, LLC
Dentist (General Practice)
109 TIMBERMILL DR
LEXINGTON, SC 29073
Lexington County (803) 957-2297
GENTLE DENTISTRY OF LEXINGTON, LLC
Dentist (General Practice)
109 TIMBERMILL DR
LEXINGTON, SC 29073
Lexington County (803) 957-2297

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1801810163. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Richard Jackson located?

Richard Jackson practices at 109 Timbermill Dr, Lexington, SC 29073. The listed phone number is (803) 957-2297.

What is Richard Jackson's specialty?

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

Is Richard Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard 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.