DR. JAMIE J. GROSS D.D.S.
NPI 1538398284
Dentist - General Practice in Sanborn, IA

NPI Status: Active since July 02, 2009

Contact Information

410 N WESTERN ST
SANBORN, IA
ZIP 51248
Phone: (712) 930-5550
Fax: (712) 930-5575

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  • Individual
  • Female
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About JAMIE GROSS

This page provides the complete NPI Profile along with additional information for Jamie Gross, a provider established in Sanborn, Iowa with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1538398284 assigned on July 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 08639 (IA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1538398284
Provider Name
DR. JAMIE J. GROSS D.D.S.
Gender
Female
Entity Type
Individual
Location Address
410 N WESTERN ST SANBORN, IA 51248
Location Phone
(712) 930-5550
Location Fax
(712) 930-5575
Mailing Address
410 N WESTERN ST SANBORN, IA 51248
Mailing Phone
(712) 930-5550
Mailing Fax
(712) 930-5575
Is Sole Proprietor?
No
Enumeration Date
07-02-2009
Last Update Date
07-02-2009
Code Navigator

A dentist like Jamie Gross 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.
08639
License State
IA
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:

  • 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
  • Delta Dental PPO Plus Premier� Individual Choice - Preventive Plus - PPO
  • Delta Dental PPO Plus Premier� Individual Choice - Platinum Plus - PPO
  • Delta Dental PPO Plus Premier� Individual Choice -Preferred Plus - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jamie Gross 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 51248 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* 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.

Reviews for DR. JAMIE J. GROSS D.D.S.

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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.
1538398284
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25686916216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 6 + 9 + 1 + 6 + 2 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1538398284 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568538775DR. TERRY LESLIE BOELTER D.D.S.
Individual
Dentist (General Practice)410 N WESTERN ST
SANBORN, IA 51248
(712) 930-5550
1558908145C & O DENTAL ENTERPRISES PLC
Organization
Clinic/Center (Dental)410 N WESTERN ST
SANBORN, IA 51248
(712) 930-5550
1467582023TERRY L BOELTER DDS PC
Organization
Dentist (General Practice)410 N WESTERN ST
SANBORN, IA 51248
(712) 930-5550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538398284, enumerated in the NPI registry as an "individual" on July 02, 2009

The provider is located at 410 N Western St Sanborn, Ia 51248 and the phone number is (712) 930-5550

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. 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 $81.84 with an average copayment of $20.46 for new patient appointments. Established patients should expect a typical charge of $66.36 and an average copayment of 16.59. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 02, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.