DR. JENNIFER ROBERTS DDS
NPI 1609092170
Dentist in South Bend, IN

Q: What is Jennifer Roberts's NPI number?

The NPI number for Jennifer Roberts is 1609092170. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Jennifer 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 Jennifer Roberts was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 17, 2007PECOS Enrolled

1605 N IRONWOOD DR, SOUTH BEND, IN 46635(574) 271-9693(574) 271-9719 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer Roberts Dds NPPES

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

DR. JENNIFER ROBERTS DDS (NPI 1609092170) is an individual dentist in South Bend, Indiana, licensed in Indiana (12010690A) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609092170

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER ROBERTSCredential: DDS

Location Address1605 N IRONWOOD DRSouth Bend, IN 46635-1843

Mailing Address1605 N Ironwood DrSouth Bend, IN 46635-1843 · (574) 271-9693 · Fax (574) 271-9719

Phone(574) 271-9693

Fax(574) 271-9719

Sole ProprietorNo

Enumeration DateApril 17, 2007

Last NPPES UpdateApril 1, 2015

✔ NPI 1609092170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12010690A

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.

1605 N IRONWOOD DR, South Bend, IN 46635

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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)

Dr. Jennifer 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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.

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 Jennifer Roberts's NPI number?

The NPI number for Jennifer Roberts is 1609092170. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Jennifer Roberts located?

Jennifer Roberts practices at 1605 N Ironwood Dr, South Bend, IN 46635. The listed phone number is (574) 271-9693.

What is Jennifer Roberts's specialty?

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

Is Jennifer Roberts enrolled in Medicare?

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

What insurance does Jennifer Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Jennifer 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 Jennifer Roberts was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.