Brandon Jackson, D.D.S
Brandon Jackson, D.D.S is a provider specialising in Pediatric Dentistry in Staten Island, NY, registered under NPI 1861753949. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 70 VIRGINIA AVE, Staten Island, NY 10305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 056966-1 | NY | Pediatric Dentistry primary |
This provider holds licence 056966-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Other (physician)
- PAC ID
- 9234428061
- Enrollment ID
- I20160518001851
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Other (physician). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Dentistry covers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 056966-1 | NY | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861753949 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 5, 2012 |
| Last updated | Sep 15, 2015 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.D.S |
| Practice address |
70 VIRGINIA AVE Staten Island, NY 10305 (718) 226-8851 |
| Other identifiers |
390200000X
· Medicaid (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 7 | 5 | 3 | 9 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 5 | 5 | 6 | 9 | 8 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.