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JESSICA SANBORN
NPI 1104207067
Dentist - General Practice in Urbandale, IA

Active since June 16, 2015PECOS Enrolled
8078 DOUGLAS AVE, URBANDALE, IA 50322(515) 276-7800 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sanborn NPPES

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

JESSICA SANBORN (NPI 1104207067) is an individual general practice provider in Urbandale, Iowa, licensed in Iowa (DDS-09825) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104207067
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA SANBORN
Location Address8078 DOUGLAS AVEUrbandale, IA 50322-2450
Mailing Address8078 Douglas AveUrbandale, IA 50322-2450 · (515) 276-7800
Phone(515) 276-7800
Sole ProprietorYes
Enumeration DateJune 16, 2015
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1104207067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IA · DDS-09825✔ Licensed in NE · 7231
Definition
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.
8078 DOUGLAS AVE, Urbandale, IA 50322
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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)

Jessica Sanborn 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 50322 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 4

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

DR. JEREMY JOSEPH FLINKMAN DMD
Dentist (General Practice)
8078 DOUGLAS AVE
URBANDALE, IA 50322
Polk County (515) 276-7800
STEFFANY L MOHAN DDS PC
Durable Medical Equipment & Medical Supplies
8078 DOUGLAS AVE
URBANDALE, IA 50322
Polk County (515) 276-7800
DR. CHIA YING WU DMD
Dentist
8078 DOUGLAS AVE
URBANDALE, IA 50322
Polk County (515) 207-4388
SLEEP BETTER ARIZONA, PLLC
Dentist (General Practice)
8078 DOUGLAS AVE
URBANDALE, IA 50322
Polk County (515) 207-4388

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 Jessica Sanborn's NPI number?

The NPI number for Jessica Sanborn is 1104207067. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Jessica Sanborn located?

Jessica Sanborn practices at 8078 Douglas Ave, Urbandale, IA 50322. The listed phone number is (515) 276-7800.

What is Jessica Sanborn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Sanborn enrolled in Medicare?

Yes. Jessica Sanborn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Sanborn was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.