DR. JASON THIBODEAUX D.M.D
NPI 1356742498
Dentist - General Practice in Rogers, AR
About Dr. Jason Thibodeaux D.m.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON THIBODEAUX D.M.D (NPI 1356742498) is an individual general practice provider in Rogers, Arkansas, licensed in Missouri (2025034587) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Jason Thibodeaux D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jason Thibodeaux's NPI number?
The NPI number for Jason Thibodeaux is 1356742498. It was assigned to this individual provider in the NPPES registry on September 9, 2014.
Where is Jason Thibodeaux located?
Jason Thibodeaux practices at 508 S 52nd St, Rogers, AR 72758. The listed phone number is (479) 845-1191.
What is Jason Thibodeaux's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jason Thibodeaux enrolled in Medicare?
Yes. Jason Thibodeaux is registered in the Medicare PECOS enrollment system.
What insurance does Jason Thibodeaux accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 24 other insurers list Jason Thibodeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jason Thibodeaux was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Jason Thibodeaux, D.M.D · NPI 1356742498
General Practice provider in Rogers, Arkansas. Individual provider, active in the CMS NPPES registry since September 9, 2014.
## Identity
- **NPI:** 1356742498 (Entity type: Individual)
- **Enumerated:** September 9, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2025034587 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 508 S 52ND ST, Rogers, AR 72758-8600
- **Phone:** (479) 845-1191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356742498) · Data from the CMS NPPES public registry.