David A. Albright, D.D.S., M.S.D.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Saint John, IN
NPI 1295955201 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295955201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 8671 (IN)
- Practice address
- 9495 Keilman St
Suite 7
Saint John, IN 46373-8924 - Phone
- (219) 365-2323
- Fax
- (219) 661-9919
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221228001939 | IN | Order and Referring Only - Dentist |
1951771419 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8671 | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8671 | IN | Yes |
Addresses
Primary practice location
9495 Keilman St
Suite 7
Saint John, IN 46373-8924
Mailing address
9495 Keilman St
Suite 7
Saint John, IN 46373-8924
Phone (219) 365-2323
Other providers in Saint John, IN
- 219 Health Network, Inc.
- Kristina Marie Aimone
- Oludare Ajayi
- Oluwaseyi Ajayi
- American Partners LP
- Amore Home Health Care Services, Inc.
- Anderson Eye Care PC
- Valerie Renee Anderson
- Thomas Michael Anger
All providers in Saint John, IN · Orthodontics and Dentofacial Orthopedics Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.