JONATHAN RODEN DMD
NPI 1477817864
Dentist - General Practice in Louisville, KY

Q: What is Jonathan Roden's NPI number?

The NPI number for Jonathan Roden is 1477817864. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Q: What is Jonathan Roden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Roden was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 29, 2012PECOS Enrolled

11900 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229(502) 977-8565 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Jan 1, 2016 (2 updates tracked since 2016).

On this page

About Jonathan Roden Dmd NPPES

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

JONATHAN RODEN DMD (NPI 1477817864) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9515) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477817864

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJONATHAN RODENCredential: DMD

Location Address11900 STANDIFORD PLAZA DRLouisville, KY 40229-5901

Mailing Address11900 Standiford Plaza DrLouisville, KY 40229-5901 · (859) 608-3396

Phone(502) 977-8565

Sole ProprietorYes

Enumeration DateJune 29, 2012

Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1477817864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 9515

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.

Also ListedDentistTaxonomy 122300000X · License 9515 (KY)

11900 STANDIFORD PLAZA DR, Louisville, KY 40229

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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)

Jonathan Roden Dmd 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 40229 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $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 2

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

PARKER UPCHURCH

Dentist

11900 STANDIFORD PLAZA DR
LOUISVILLE, KY 40229

Jefferson County (502) 957-9144

DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.

Dentist (General Practice)

11900 STANDIFORD PLAZA DR
LOUISVILLE, KY 40229

Jefferson County (502) 977-8565

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 Jonathan Roden's NPI number?

The NPI number for Jonathan Roden is 1477817864. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Jonathan Roden located?

Jonathan Roden practices at 11900 Standiford Plaza Dr, Louisville, KY 40229. The listed phone number is (502) 977-8565.

What is Jonathan Roden's specialty?

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

Is Jonathan Roden enrolled in Medicare?

Yes. Jonathan Roden is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Roden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 11 other insurers list Jonathan Roden 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 Jonathan Roden was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.