DR. JOLYN RAE JABERI D.D.S.
NPI 1144577602
Dentist in Prior Lake, MN

Q: What is Jolyn Jaberi's NPI number?

The NPI number for Jolyn Jaberi is 1144577602. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Q: What is Jolyn Jaberi'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 Jolyn Jaberi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 14, 2012PECOS Enrolled

16670 FRANKLIN TRL SE STE 100, PRIOR LAKE, MN 55372(952) 447-4611(952) 447-4660 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

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About Dr. Jolyn Rae Jaberi D.d.s. NPPES

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

DR. JOLYN RAE JABERI D.D.S. (NPI 1144577602) is an individual dentist in Prior Lake, Minnesota, licensed in Minnesota (D13151) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144577602

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JOLYN RAE JABERICredential: D.D.S.

Location Address16670 FRANKLIN TRL SE STE 100Prior Lake, MN 55372-2926

Mailing Address16670 Franklin Trl Se Ste 100Prior Lake, MN 55372-2926 · (952) 447-4611 · Fax (952) 447-4660

Phone(952) 447-4611

Fax(952) 447-4660

Sole ProprietorYes

Enumeration DateAugust 14, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1144577602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13151

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.

16670 FRANKLIN TRL SE STE 100, Prior Lake, MN 55372

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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)

Dr. Jolyn Rae Jaberi D.d.s. 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 55372 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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 Jolyn Jaberi's NPI number?

The NPI number for Jolyn Jaberi is 1144577602. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Jolyn Jaberi located?

Jolyn Jaberi practices at 16670 Franklin Trl SE Ste 100, Prior Lake, MN 55372. The listed phone number is (952) 447-4611.

What is Jolyn Jaberi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jolyn Jaberi enrolled in Medicare?

Yes. Jolyn Jaberi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jolyn Jaberi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.