DR. SAMUEL BROOKS ALLEN D.D.S.
NPI 1033567359
Dentist - Orthodontics and Dentofacial Orthopedics in Downers Grove, IL

Active since May 26, 2016Opted out of Medicare · through Jan 3, 2027
6800 MAIN ST., THIRD FLOOR, DOWNERS GROVE, IL 60516(630) 969-5350(630) 969-4692 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Brooks Allen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL BROOKS ALLEN D.D.S. (NPI 1033567359) is an individual orthodontics and dentofacial orthopedics provider in Downers Grove, Illinois, licensed in Illinois (19030584) and active in the NPI registry since May 2016. He has opted out of Medicare through January 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033567359
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. SAMUEL BROOKS ALLENCredential: D.D.S.
Location Address6800 MAIN ST., THIRD FLOORDowners Grove, IL 60516
Mailing Address6800 Main St., Third FloorDowners Grove, IL 60516 · (630) 969-5350 · Fax (630) 969-4692
Fax(630) 969-4692
Sole ProprietorNo
Enumeration DateMay 26, 2016
NPI 1033567359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 19030584
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
6800 MAIN ST., THIRD FLOOR, Downers Grove, IL 60516

Other Identifiers 1

Other19030584IL · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Samuel Brooks Allen D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2019 through January 3, 2027.

Opt-Out Effective DateJanuary 3, 2019
Opt-Out In Effect ThroughJanuary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Allen's NPI number?

The NPI number for Samuel Allen is 1033567359. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Samuel Allen located?

Samuel Allen practices at 6800 Main St., Third Floor, Downers Grove, IL 60516. The listed phone number is (630) 969-5350.

What is Samuel Allen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Samuel Allen enrolled in Medicare?

No. Samuel Allen has opted out of Medicare through January 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Samuel Allen accept?

Health plans from Humana list Samuel Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Allen was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.