Individual provider Active NPI

David A. Albright, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint John, IN
National Provider Identifier
1295955201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8671 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8671 IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228001939 IN Order and Referring Only - DentistPractitioner - Dentist 1951771419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8671INMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295955201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 KEILMAN ST",
            "address_2": "SUITE 7",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738924",
            "telephone_number": "219-365-2323",
            "fax_number": "219-661-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 KEILMAN ST",
            "address_2": "SUITE 7",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738924",
            "telephone_number": "219-365-2323",
            "fax_number": "219-661-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRIGHT",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "8671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

Verify at the official NPI Registry.