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Deactivated NPI 1790843241 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan Matthew Roberts , DDS

Dentist • Columbus, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jonathan Roberts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date July 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Roberts, DDS was a registered Dentist practicing in Columbus, IN. Throughout an active medical career spanning 20 years, Dr. Roberts provided care at the practice location at 2121 25TH STREET until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

2121 25th Street
Suite 2

Columbus, IN 472013214

Telephone 8123799561
Fax 8123728157
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbus, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Columbus, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12008327

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2121 25TH STREET, SUITE 2, COLUMBUS, IN 472013214 (Tel: 8123799561)

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Updated Business Mailing Address July 08, 2007

Registered at 2121 25TH STREET, SUITE 2, COLUMBUS, IN 472013214 (Tel: 8123799561)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN ROBERTS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12008327 in IN)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790843241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

2121 25th Street, Suite 2

Columbus, IN 472013214

Phone: 8123799561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.