Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JENNIFER ANN RUSSELL D.D.S., M.S.D.
NPI 1265552160
Dentist - Orthodontics and Dentofacial Orthopedics in Indianapolis, IN

Active since April 02, 2007PECOS Enrolled
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-7433 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer Ann Russell D.d.s., M.s.d. NPPES

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

DR. JENNIFER ANN RUSSELL D.D.S., M.S.D. (NPI 1265552160) is an individual orthodontics and dentofacial orthopedics provider in Indianapolis, Indiana, licensed in Indiana (12010066A) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265552160
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JENNIFER ANN RUSSELLCredential: D.D.S., M.S.D.
Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211
Mailing Address5115 N Pennsylvania StIndianapolis, IN 46205-1038 · (317) 726-0136
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1265552160 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 IN · 12010066A
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.

1121 W MICHIGAN ST, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer Ann Russell D.d.s., M.s.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 20

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

Dentist (General Practice)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN ST, ROOM 285
INDIANAPOLIS, IN 46202
Dentist (Periodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, INDIANA UNIVERSITY SSCHOOL OF DENTISTRY RM 235
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, ROOM S 110
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN ST, ROOM 285B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265552160, enumerated as an "individual" on April 02, 2007.

The provider is located at 1121 W MICHIGAN ST INDIANAPOLIS, IN 46202 and the phone number is (317) 274-7433.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.