JUSTIN ROBERTS DDS
NPI 1548754054
Dentist in Sallisaw, OK

Q: What is Justin Roberts's NPI number?

The NPI number for Justin Roberts is 1548754054. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Justin Roberts'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 Justin Roberts was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 18, 2018PECOS Enrolled

301 S J T STITES ST, SALLISAW, OK 74955(918) 775-9150 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2019, Jun 18, 2018 (2 updates tracked since 2018).

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About Justin Roberts Dds NPPES

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

JUSTIN ROBERTS DDS (NPI 1548754054) is an individual dentist in Sallisaw, Oklahoma, licensed in Oklahoma (7068) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1548754054

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJUSTIN ROBERTSCredential: DDS

Location Address301 S J T STITES STSallisaw, OK 74955-9302

Mailing Address401 Honor Heights DrMuskogee, OK 74401-2340

Phone(918) 775-9150

Sole ProprietorYes

Enumeration DateJune 18, 2018

Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration

✔ NPI 1548754054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 7068

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.

301 S J T STITES ST, Sallisaw, OK 74955

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Secondary Practice Location 1

Location 1206 E Downing StTahlequah, OK 74464-3000 · Phone (918) 456-0977

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Roberts Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation

Same address

Multi-Specialty

301 S J T STITES ST
Sallisaw, OK 74955

Reassigned Medicare billing, Texas enrollment
1,047 clinicians in this Medicare group

NPI 1780692723 (918) 775-9150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74955 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

DOMINIQUE BURDETTE

Dental Hygienist