DR. DANTE JEROME BROWN D.M.D
NPI 1104277516
Dentist in South Bend, IN

Active since June 27, 2016PECOS Enrolled
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619(574) 234-9033(574) 847-7200 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2024, Nov 25, 2020, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Dante Jerome Brown D.m.d NPPES

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

DR. DANTE JEROME BROWN D.M.D (NPI 1104277516) is an individual dentist in South Bend, Indiana, licensed in Indiana (12012548A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1104277516
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DANTE JEROME BROWNCredential: D.M.D
Location Address1901 W WESTERN AVE STE BSouth Bend, IN 46619-3570
Mailing Address19058 Avers AveFlossmoor, IL 60422-1017
Fax(574) 847-7200
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateJune 18, 20263 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1104277516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12012548A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDental Laboratory TechnicianTaxonomy 126900000X · License 12012548A (IN)
1901 W WESTERN AVE STE B, South Bend, IN 46619

Secondary Practice Location 1

Location 16215 Central AvePortage, IN 46368-3725 · Phone (708) 623-3188

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dante Jerome Brown D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Dante Brown reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
621 MEMORIAL DR STE 402
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 183 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2507 CUMBERLAND DR
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 108 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
116 E 32ND ST STE A
Marion, IN 46953
  • Reassigned Medicare billing, Indiana enrollment
  • 71 clinicians in this Medicare group
Social Worker
8425 WOODFIELD CROSSING BLVD STE 100
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46619 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Nurse Practitioner (Family)
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Nurse Practitioner (Pediatrics)
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Family Medicine
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Nurse Practitioner (Family)
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Nurse Practitioner (Family)
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Dentist
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619
Dental Hygienist
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619

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 Dante Brown's NPI number?

The NPI number for Dante Brown is 1104277516. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Dante Brown located?

Dante Brown practices at 1901 W Western Ave Ste B, South Bend, IN 46619. The listed phone number is (574) 234-9033.

What is Dante Brown's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dante Brown enrolled in Medicare?

Yes. Dante Brown is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dante Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dante Brown reassigns Medicare benefits to 4 organizations: Healthlinc, Inc (South Bend, IN), Porter-Starke Services Inc. (Valparaiso, IN), Indiana Health Centers, Inc (Marion, IN) and Onhealthcare LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dante Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dante Brown accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Dante Brown 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 Dante Brown was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.