Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ARIANNA JACKSON DDS
NPI 1932760303
Dentist in Kansas City, KS

Q: What is Arianna Jackson's NPI number?

The NPI number for Arianna Jackson is 1932760303. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Arianna Jackson'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 Arianna Jackson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 June 25, 2019PECOS Enrolled

21 N 12TH ST STE 400, KANSAS CITY, KS 66102(816) 599-5111 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Aug 27, 2026, Jul 29, 2026 and 13 more (16 updates tracked since 2024).

On this page

About Dr. Arianna Jackson Dds NPPES

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

DR. ARIANNA JACKSON DDS (NPI 1932760303) is an individual dentist in Kansas City, Kansas, licensed in Kansas (61640) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1932760303

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ARIANNA JACKSONCredential: DDS

Location Address21 N 12TH ST STE 400Kansas City, KS 66102-5172

Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 923-5800 · Fax (816) 922-1070

Phone(816) 599-5111

Sole ProprietorNo

Enumeration DateJune 25, 2019

Last NPPES UpdateSeptember 30, 202616 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1932760303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KS · 61640

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.

21 N 12TH ST STE 400, Kansas City, KS 66102

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Secondary Practice Location 1

Location 13801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · Phone (816) 599-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arianna 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.

Medicare Billing Reassignment

Medicare enrollment records show Arianna Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swope Health Services

4.3 mi

Federally Qualified Health Center (FQHC)

3039 TROOST AVE
Kansas City, MO 64109

Reassigned Medicare billing, Missouri enrollment
175 clinicians in this Medicare group

NPI 1437817830 (816) 923-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66102 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 8

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

ALEXANDRA MARTINEZ

Dental Hygienist