KEITH JACKSON
NPI 1831404938
Dentist in Madeira, OH

Active since August 12, 2010PECOS Enrolled
7113 MIAMI AVE, MADEIRA, OH 45243(513) 561-5318(513) 561-1120 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keith Jackson NPPES

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

KEITH JACKSON (NPI 1831404938) is an individual dentist in Madeira, Ohio, licensed in Ohio (30023286) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831404938
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEITH JACKSON
Location Address7113 MIAMI AVEMadeira, OH 45243-2616
Mailing Address7113 Miami AveMadeira, OH 45243-2616 · (513) 561-5318 · Fax (513) 561-1120
Fax(513) 561-1120
Sole ProprietorNo
Enumeration DateAugust 12, 2010
NPI 1831404938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30023286
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.

7113 MIAMI AVE, Madeira, OH 45243

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)

Keith Jackson 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 45243 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 2

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

Dentist
7113 MIAMI AVE
MADEIRA, OH 45243
Dentist
7113 MIAMI AVE
CINCINNATI, OH 45243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831404938, enumerated as an "individual" on August 12, 2010.

The provider is located at 7113 MIAMI AVE MADEIRA, OH 45243 and the phone number is (513) 561-5318.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Delta Dental of Ohio, Guardian, Humana, MedMutual. Please consult your insurance carrier or call the provider to verify.