Kade Duane Roach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12015095A Issued in IN

Practice address

200 Grandview Dr
Salem, IN 47167-1022

Phone

(812) 404-1000

NPI assigned

Jul 10, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Street Dental LLC

  • General Practice Dentistry
  • Salem, IN
  • NPI 1265355432
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1740108265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRANDVIEW DR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671022",
            "telephone_number": "812-404-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRANDVIEW DR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671022",
            "telephone_number": "812-404-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KADE",
        "middle_name": "DUANE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12015095A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reasor Chiropractic PC
• Renal Treatment Centers Illinois Inc
• Andrew K Rhinehart, M.D.
• Richards Chiropractic Spine & Joint Center, Inc.
• Michael Chad Richards, D.C.
• Maureen Ann Robinson, LCSW
• Amanda S. Rusk, PT
• Salem Apothecary, Inc
• Salem Community Schools
• Salem Family Dental, LLC

• General Practice Dentistry in Salem, IN
• Providers in Salem, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.