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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERT BLAINE MONGRAIN JR. DMD
NPI 1598731655
Dentist - General Practice in Broken Arrow, OK

Active since February 27, 2006PECOS Enrolled
8701 S GARNETT RD, BROKEN ARROW, OK 74012(918) 250-9528(918) 250-9529 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Blaine Mongrain Jr. Dmd NPPES

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

DR. ROBERT BLAINE MONGRAIN JR. DMD (NPI 1598731655) is an individual general practice provider in Broken Arrow, Oklahoma, licensed in Oklahoma (4301) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598731655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT BLAINE MONGRAIN JR.Credential: DMD
Location Address8701 S GARNETT RDBroken Arrow, OK 74012-8852
Mailing Address8701 S Garnett RdBroken Arrow, OK 74012-8852 · (918) 250-9528 · Fax (918) 250-9529
Phone(918) 250-9528
Fax(918) 250-9529
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1598731655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 4301
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.
8701 S GARNETT RD, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Dr. Robert Blaine Mongrain Jr. 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 74012 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 3

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

DR. JONATHAN BELLER DMD
Dentist (General Practice)
8701 S GARNETT RD
BROKEN ARROW, OK 74012
Tulsa County (918) 235-3055
DR. TAYLOR J SPRAGUE DDS
Dentist
8701 S GARNETT RD
BROKEN ARROW, OK 74012
Tulsa County (918) 250-9528
BERKSHIRE DENTAL GROUP PLC
Dentist (General Practice)
8701 S GARNETT RD
BROKEN ARROW, OK 74012
Tulsa County (918) 250-9528

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 Robert Mongrain's NPI number?

The NPI number for Robert Mongrain is 1598731655. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Robert Mongrain located?

Robert Mongrain practices at 8701 S Garnett Rd, Broken Arrow, OK 74012. The listed phone number is (918) 250-9528.

What is Robert Mongrain's specialty?

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

Is Robert Mongrain enrolled in Medicare?

Yes. Robert Mongrain is registered in the Medicare PECOS enrollment system.

What insurance does Robert Mongrain accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Robert Mongrain 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 Robert Mongrain was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.