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DR. BRANDON JOSHUA JACKSON D.D.S
NPI 1861753949
Dentist - Pediatric Dentistry in Staten Island, NY

Active since June 05, 2012PECOS Enrolled
70 VIRGINIA AVE, STATEN ISLAND, NY 10305(718) 226-8851 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brandon Joshua Jackson D.d.s NPPES

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

DR. BRANDON JOSHUA JACKSON D.D.S (NPI 1861753949) is an individual pediatric dentistry provider in Staten Island, New York, licensed in New York (056966-1) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861753949
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BRANDON JOSHUA JACKSONCredential: D.D.S
Location Address70 VIRGINIA AVEStaten Island, NY 10305-1748
Mailing Address70 Virginia AveStaten Island, NY 10305 · (917) 626-3507
Phone(718) 226-8851
Sole ProprietorNo
Enumeration DateJune 5, 2012
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1861753949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 056966-1
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
70 VIRGINIA AVE, Staten Island, NY 10305
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Other Identifiers 1

Medicaid390200000XNY

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. Brandon Joshua Jackson 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 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1861753949. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Brandon Jackson located?

Brandon Jackson practices at 70 Virginia Ave, Staten Island, NY 10305. The listed phone number is (718) 226-8851.

What is Brandon Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Brandon Jackson enrolled in Medicare?

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

What insurance does Brandon 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 Florida Combined Life and 5 other insurers list Brandon 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 Brandon Jackson was last updated on September 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.