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DR. JOHN E. ADCOCK D.D.S., M.S.
NPI 1922005503
Dentist - Periodontics in Tyler, TX

Active since June 28, 2005PECOS Enrolled
3805 BROOKSIDE DR, TYLER, TX 75701(903) 288-8805(903) 509-0160 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John E. Adcock D.d.s., M.s. NPPES

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

DR. JOHN E. ADCOCK D.D.S., M.S. (NPI 1922005503) is an individual periodontics provider in Tyler, Texas, licensed in Texas (10911) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922005503
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN E. ADCOCKCredential: D.D.S., M.S.
Location Address3805 BROOKSIDE DRTyler, TX 75701-9421
Mailing Address3805 Brookside DrTyler, TX 75701-9421 · (903) 288-8805 · Fax (903) 509-0160
Phone(903) 288-8805
Fax(903) 509-0160
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1922005503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 10911
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3805 BROOKSIDE DR, Tyler, TX 75701
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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. John E. Adcock D.d.s., M.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 75701 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.

TYLER PERIODONTICS, PLLC
Dentist (Periodontics)
3805 BROOKSIDE DR
TYLER, TX 75701
Smith County (903) 581-2900
DR. ALEXANDRA RICKER KENNEDY DDS, MS
Dentist (Periodontics)
3805 BROOKSIDE DR
TYLER, TX 75701
Smith County (903) 581-2900

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 John Adcock's NPI number?

The NPI number for John Adcock is 1922005503. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is John Adcock located?

John Adcock practices at 3805 Brookside Dr, Tyler, TX 75701. The listed phone number is (903) 288-8805.

What is John Adcock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Adcock enrolled in Medicare?

Yes. John Adcock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Adcock was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.