JACKSON SADLER D.D.S
NPI 1477903441
Dentist in Kansas City, MO

Q: What is Jackson Sadler's NPI number?

The NPI number for Jackson Sadler is 1477903441. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Q: What is Jackson Sadler's specialty?

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

Q: Is Jackson Sadler enrolled in Medicare?

No. Jackson Sadler has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jackson Sadler was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 20, 2016Opted out of Medicare · through Jul 18, 2028

2101 CHARLOTTE ST, UNIVERSITY HEALTH, KANSAS CITY, MO 64108(816) 404-4356(816) 404-4359 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Jackson Sadler D.d.s NPPES

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

JACKSON SADLER D.D.S (NPI 1477903441) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2016019545) and active in the NPI registry since June 2016. He has opted out of Medicare through July 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477903441

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACKSON SADLERCredential: D.D.S

Location Address2101 CHARLOTTE ST, UNIVERSITY HEALTHKansas City, MO 64108-2727

Mailing Address2101 Charlotte St, University HealthKansas City, MO 64108-2727 · (816) 404-4356 · Fax (816) 404-4359

Phone(816) 404-4356

Fax(816) 404-4359

Sole ProprietorYes

Enumeration DateJune 20, 2016

✔ NPI 1477903441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2016019545

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.

2101 CHARLOTTE ST, Kansas City, MO 64108

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jackson Sadler D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2022 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2022

Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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 $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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 20

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

SUSAN MARIE MOU M.D.

Obstetrics & Gynecology