JOBY E. JABERI (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1407059009

JOBY E. JABERI (DDS) is a healthcare provider. based in Duluth, Minnesota. specializing in ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. 0022997 (TX). The NPI Number for JOBY E. JABERI (DDS) is 1407059009

Main info

Male
20 Years Of Experience
Name
JOBY E. JABERI (DDS)
NPI
1407059009
Phone
(218) 722-1854
Address
1000 E 1ST ST
Enumeration Date
9 June 2007
Last Update Date
6 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Secondary Phone
6514526933
Graduation Year
2006 (20 years ago)
PAC ID
3577786300
Group Practice PAC ID
9436127560
Professional Enrollment ID
I20140524000153
Address ID
MN551222486EA2130XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

81 ORAL SURGERY in MN

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Provider Addresses for JOBY E. JABERI (DDS)

  • 1000, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    SUITE 302

    DULUTH, MN 558052297

    Phone: (218) 722-1854

    Fax: (218) 722-6424

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Straumann USA LLC ($394).

Total Amount

$536

General + Research + Ownership

Payments

8

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140524000153IOral SurgeryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436127560View full group profile
NameSpecialtyState
Oral SurgeryMN
-MN
Maxillofacial SurgeryMN
Oral SurgeryMN
Oral Surgery, Maxillofacial SurgeryMN
Maxillofacial SurgeryMN

Reviews

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Frequently asked questions

What federal number belongs to JOBY E. JABERI (DDS)?
The federal identifier for JOBY E. JABERI (DDS) is NPI 1407059009.
Is JOBY E. JABERI (DDS) active in the national directory?
JOBY E. JABERI (DDS)'s public NPI profile is in an active state.
What field does JOBY E. JABERI (DDS) work in?
You can think of JOBY E. JABERI (DDS) as practicing within Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOBY E. JABERI (DDS)?
The page summarizes Duluth, Minnesota for JOBY E. JABERI (DDS); expand the address list for detail.
How can I contact JOBY E. JABERI (DDS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.