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DR. OPHELIA FAYE JACKSON DDS
NPI 1841396108
Dentist in New York, NY

Active since September 15, 2006PECOS Enrolled
429 W 24TH ST, NEW YORK, NY 10011(516) 459-4739(212) 206-0298 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ophelia Faye Jackson Dds NPPES

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

DR. OPHELIA FAYE JACKSON DDS (NPI 1841396108) is an individual dentist in New York, New York, licensed in New York (047262-1) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841396108
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. OPHELIA FAYE JACKSONCredential: DDS
Location Address429 W 24TH STNew York, NY 10011-1225
Mailing Address429 W 24th StNew York, NY 10011-1225 · (516) 459-4739 · Fax (212) 206-0298
Phone(516) 459-4739
Fax(212) 206-0298
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1841396108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 047262-1
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.
429 W 24TH ST, New York, NY 10011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Ophelia Faye Jackson 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 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

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

DR. APRIL C. MARTIN PH.D.
Psychologist (Clinical)
429 W 24TH ST, APT. 2F
NEW YORK, NY 10011
New York County (212) 675-6872

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 Ophelia Jackson's NPI number?

The NPI number for Ophelia Jackson is 1841396108. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Ophelia Jackson located?

Ophelia Jackson practices at 429 W 24th St, New York, NY 10011. The listed phone number is (516) 459-4739.

What is Ophelia Jackson's specialty?

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

Is Ophelia Jackson enrolled in Medicare?

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

What insurance does Ophelia Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Ophelia 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 Ophelia Jackson was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.