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DR. JUSTIN BRYCE BODEKER D.D.S.
NPI 1386026417
Dentist - General Practice in Batesville, AR

Active since June 25, 2015PECOS Enrolled
40 MITCHELL RD, BATESVILLE, AR 72501(870) 926-5102 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Bryce Bodeker D.d.s. NPPES

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

DR. JUSTIN BRYCE BODEKER D.D.S. (NPI 1386026417) is an individual general practice provider in Batesville, Arkansas, licensed in Arkansas (4054) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386026417
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN BRYCE BODEKERCredential: D.D.S.
Location Address40 MITCHELL RDBatesville, AR 72501
Mailing AddressPo Box 2451Batesville, AR 72503-2451 · (870) 926-5102
Phone(870) 926-5102
Sole ProprietorYes
Enumeration DateJune 25, 2015
Last NPPES UpdateOctober 21, 2019
✔ NPI 1386026417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 4054
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.
40 MITCHELL RD, Batesville, AR 72501
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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. Justin Bryce Bodeker 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 72501 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 Justin Bodeker's NPI number?

The NPI number for Justin Bodeker is 1386026417. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Justin Bodeker located?

Justin Bodeker practices at 40 Mitchell Rd, Batesville, AR 72501. The listed phone number is (870) 926-5102.

What is Justin Bodeker's specialty?

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

Is Justin Bodeker enrolled in Medicare?

Yes. Justin Bodeker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Bodeker was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.