DR. JACKSON A BEAN D.D.S.
NPI 1861610545
Dentist in Greenville, TX

Q: What is Jackson Bean's NPI number?

The NPI number for Jackson Bean is 1861610545. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Jackson Bean's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackson Bean was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 20, 2007PECOS Enrolled

2704 AILEEN BLVD, GREENVILLE, TX 75402(903) 454-6661(903) 454-6661 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jackson A Bean D.d.s. NPPES

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

DR. JACKSON A BEAN D.D.S. (NPI 1861610545) is an individual dentist in Greenville, Texas, licensed in Texas (21382) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861610545

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACKSON A BEANCredential: D.D.S.

Location Address2704 AILEEN BLVDGreenville, TX 75402-6486

Mailing Address2704 Aileen BlvdGreenville, TX 75402-6486 · (903) 454-6661 · Fax (903) 454-6661

Phone(903) 454-6661

Fax(903) 454-6661

Sole ProprietorYes

Enumeration DateApril 20, 2007

Last NPPES UpdateMarch 11, 2013

✔ NPI 1861610545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 21382

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.

2704 AILEEN BLVD, Greenville, TX 75402

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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. Jackson A Bean 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 75402 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 2

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

DR. CHARLES T FOSTER DMD

Dentist (General Practice)

2704 AILEEN BLVD
GREENVILLE, TX 75402

Hunt County (903) 474-2214

DR. TERRY L. MOSSER D.D.S.

Dentist (General Practice)

2704 AILEEN BLVD
GREENVILLE, TX 75402

Hunt County (903) 454-6661

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 Jackson Bean's NPI number?

The NPI number for Jackson Bean is 1861610545. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Jackson Bean located?

Jackson Bean practices at 2704 Aileen Blvd, Greenville, TX 75402. The listed phone number is (903) 454-6661.

What is Jackson Bean's specialty?

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

Is Jackson Bean enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jackson Bean was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.