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JOMARI JACKSON DDS
NPI 1902749849
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 14, 2026PECOS Enrolled
22201 MOROSS PROFESSIONAL BUILDING II, SUITE 155, DETROIT, MI 48236(313) 499-4775 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jomari Jackson Dds NPPES

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

JOMARI JACKSON DDS (NPI 1902749849) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902749849
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOMARI JACKSONCredential: DDS
Location Address22201 MOROSS PROFESSIONAL BUILDING II, SUITE 155Detroit, MI 48236
Mailing Address22201 Moross Professional Building Ii, Suite 155Detroit, MI 48236
Phone(313) 499-4775
Sole ProprietorYes
Enumeration DateApril 14, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1902749849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22201 MOROSS PROFESSIONAL BUILDING II, SUITE 155, Detroit, MI 48236
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jomari 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.

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 Jomari Jackson's NPI number?

The NPI number for Jomari Jackson is 1902749849. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Jomari Jackson located?

Jomari Jackson practices at 22201 Moross Professional Building II, Suite 155, Detroit, MI 48236. The listed phone number is (313) 499-4775.

What is Jomari Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jomari Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jomari Jackson was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.