JADA ROBERTS
NPI 1588072045
Dentist - Pediatric Dentistry in Marion, IN

Q: What is Jada Roberts's NPI number?

The NPI number for Jada Roberts is 1588072045. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Jada Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jada Roberts was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 29, 2014PECOS Enrolled

1102 N WABASH AVE, MARION, IN 46952(765) 673-0633 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jada Roberts NPPES

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

JADA ROBERTS (NPI 1588072045) is an individual pediatric dentistry provider in Marion, Indiana, licensed in Indiana (12012082A) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588072045

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameJADA ROBERTS

Location Address1102 N WABASH AVEMarion, IN 46952-2510

Mailing Address1102 N Wabash AveMarion, IN 46952-2510 · (765) 673-0633

Phone(765) 673-0633

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateDecember 20, 2021

NPPES CertifiedDecember 20, 2021

✔ NPI 1588072045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 12012082A

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 12012082A (IN)

1102 N WABASH AVE, Marion, IN 46952

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Accepted Insurance

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

Jada Roberts 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 46952 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

DR. MARCUS DAGER D.M.D., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

1102 N WABASH AVE
MARION, IN 46952

Grant County (765) 662-3881

DAGER ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

1102 N WABASH AVE
MARION, IN 46952

Grant County (765) 662-3881

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 Jada Roberts's NPI number?

The NPI number for Jada Roberts is 1588072045. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Jada Roberts located?

Jada Roberts practices at 1102 N Wabash Ave, Marion, IN 46952. The listed phone number is (765) 673-0633.

What is Jada Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jada Roberts enrolled in Medicare?

Yes. Jada Roberts is registered in the Medicare PECOS enrollment system.

What insurance does Jada Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Jada Roberts 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 Jada Roberts was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.