Individual provider Active NPI

Daniel Joseph Allen

  • Pediatric Dentistry
  • Brownsburg, IN
National Provider Identifier
1326500596
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12013307A Issued in IN
Practice address
680 E 56TH St Ste I
Brownsburg, IN 46112-7777
Phone
(317) 852-8113
Fax
(317) 852-8115
NPI assigned
Apr 4, 2019
Last updated
Feb 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IN
Pediatric Dentistry 1223P0221X 12013307A IN Primary

Addresses

Primary practice location

680 E 56TH St Ste I
Brownsburg, IN 46112-7777

Mailing address

680 E 56TH St Ste I
Brownsburg, IN 46112-7777
Phone (317) 852-8113

Other identifiers 1

IdentifierTypeStateIssuer
300036174MedicaidIN

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
I20190612001551 IN Order and Referring Only - DentistPractitioner - Dentist 0244563930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013307AINMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Allen, DMD, MSD, LLC Pediatric Dentistry Current Accepting new patients
University Pediatric Dentistry Associates Pediatric Dentistry Past Accepting new patients
The Kids' Dentist, PC Pediatric Dentistry PastSince Jul 1, 2021 Accepting new patients
Dental Partners of Indiana Pediatric Dentistry PastSince Nov 24, 2025 Accepting new patients

Locations

680 E 56th St
Ste I
Brownsburg, IN 46112
Phone (317) 588-2802

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1326500596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E 56TH ST STE I",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127777",
            "telephone_number": "317-852-8113",
            "fax_number": "317-852-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E 56TH ST STE I",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127777",
            "telephone_number": "317-852-8113",
            "fax_number": "317-852-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013307A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036174",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.