DR. HARRY KEITH JACKSON D.D.S.
NPI 1336234640
Dentist - General Practice in Charleston, WV
NPI Status: Active since October 03, 2006
Contact Information
116 HILLS PLZ
CHARLESTON, WV
ZIP 25387
Phone: (304) 720-4466
Fax: (304) 720-4813
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About HARRY JACKSON
This page provides the complete NPI Profile along with additional information for Harry Jackson, a provider established in Charleston, West Virginia with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1336234640 assigned on October 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 2140 (WV). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1336234640
- Provider Name
- DR. HARRY KEITH JACKSON D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 116 HILLS PLZ CHARLESTON, WV 25387
- Location Phone
- (304) 720-4466
- Location Fax
- (304) 720-4813
- Mailing Address
- 97 GREAT TEAYS BLVD STE 6 SCOTT DEPOT, WV 25560
- Mailing Phone
- (304) 720-4466
- Mailing Fax
- (304) 720-4813
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2006
- Last Update Date
- 08-02-2019
- Code Navigator
A dentist like Harry Jackson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 2140
- License State
- WV
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0135354000 | MEDICAID (05) | WV | |
| 1336234640 | MEDICAID (05) | WV |
Medicare Participation & PECOS Enrollment Status
Harry Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 25387 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.84
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $16.71
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 3 | 4 | 6 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 3 | 8 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 3 + 8 + 6 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336234640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730159880 | WILSON E WARD DDS Individual | Dentist | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 414-4493 |
| 1427502632 | SUZANNE RILEY MSW Individual | Social Worker | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1720530074 | RHODA HAMILTON FNP Individual | Nurse Practitioner (Family) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1750382297 | BRIAN WAYNE MACAULAY MD Individual | Family Medicine | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1659842912 | TINA L FABER LCSW Individual | Social Worker | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1215907290 | MARIA RITA BERNARDO DDS Individual | Dentist | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 414-4493 |
| 1679858930 | MRS. SARAH DAWN KNIGHT F.N.P.-B.C. Individual | Nurse Practitioner (Family) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1336401504 | KASEY BETH GENTILIN D.D.S. Individual | Dentist | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1932508413 | ELIZABETH C FRAMPTON LICSW Individual | Social Worker (Clinical) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1326524323 | HANNAH R HUDSON APRN, FNP-BC Individual | Nurse Practitioner (Family) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1912317629 | LISA A. KELLY APRN,NP-C Individual | Nurse Practitioner (Family) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1699701094 | UJJAL SANDHU MD Individual | Obstetrics & Gynecology | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1407958101 | DR. NORMAN J MONTALTO D.O. Individual | Family Medicine | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1285960856 | HOLLY R. MURRINER PA-C Individual | Physician Assistant | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1174164115 | SUSAN A BAILEY LPC Individual | Counselor (Professional) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1972773224 | WOMENCARE, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1326394263 | HANNAH ASPY CONLEY PA-C Individual | Physician Assistant | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1437871035 | CASSANDRA MARIE CONNELLY PSY.D. Individual | Psychologist (Clinical) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1033741855 | SARAH ELIZABETH SHAPERO Individual | Social Worker (Clinical) | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
| 1134812662 | JESSICA KARMAZIN LGSW Individual | Social Worker | 116 HILLS PLZ CHARLESTON, WV 25387 (304) 720-4466 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336234640, enumerated in the NPI registry as an "individual" on October 03, 2006
The provider is located at 116 Hills Plz Charleston, Wv 25387 and the phone number is (304) 720-4466
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $83.49 with an average copayment of $20.87 for new patient appointments. Established patients should expect a typical charge of $66.84 and an average copayment of 16.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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