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JUSTIN L ROBERTS D.D.S.
NPI 1699065862
Dentist in Kokomo, IN

Active since April 08, 2011PECOS Enrolled
3415 S LAFOUNTAIN ST STE I, KOKOMO, IN 46902(765) 455-1222(765) 455-0485 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin L Roberts D.d.s. NPPES

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

JUSTIN L ROBERTS D.D.S. (NPI 1699065862) is an individual dentist in Kokomo, Indiana, licensed in Indiana (12012271A) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699065862
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUSTIN L ROBERTSCredential: D.D.S.
Location Address3415 S LAFOUNTAIN ST STE IKokomo, IN 46902-3826
Mailing Address10450 E 500 SKirklin, IN 46050-8800 · (317) 850-2327 · Fax (765) 455-0485
Phone(765) 455-1222
Fax(765) 455-0485
Sole ProprietorYes
Enumeration DateApril 8, 2011
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1699065862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12012271A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3415 S LAFOUNTAIN ST STE I, Kokomo, IN 46902
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Secondary Practice Locations 2

Location 1138 Shawnee StGreenville, OH 45331-2529 · Phone (937) 547-0114
Location 2118 S Green StGreentown, IN 46936-1411 · Phone (765) 455-1222 · Fax (765) 455-0485

Accepted Insurance

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

Justin L Roberts D.d.s. 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 46902 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

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

ROBERTS DENTAL GROUP LLC
Dentist (General Practice)
3415 S LAFOUNTAIN ST STE I
KOKOMO, IN 46902
Howard County (765) 455-1222

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 Justin Roberts's NPI number?

The NPI number for Justin Roberts is 1699065862. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Justin Roberts located?

Justin Roberts practices at 3415 S Lafountain St Ste I, Kokomo, IN 46902. The listed phone number is (765) 455-1222.

What is Justin Roberts's specialty?

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

Is Justin Roberts enrolled in Medicare?

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

What insurance does Justin Roberts accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana list Justin 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 Justin Roberts was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.