DAWN BENSON DDS
NPI 1790862027
Dentist in Fort Wayne, IN

Q: What is Dawn Benson's NPI number?

The NPI number for Dawn Benson is 1790862027. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Dawn Benson's specialty?

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

Q: Is Dawn Benson enrolled in Medicare?

No. Dawn Benson has opted out of Medicare through September 17, 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.

Q: When was this NPI record last updated?

The NPPES record for Dawn Benson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 01, 2006Opted out of Medicare · through Sep 17, 2027

7810 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-7175 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dawn Benson Dds NPPES

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

DAWN BENSON DDS (NPI 1790862027) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12009930A) and active in the NPI registry since November 2006. He has opted out of Medicare through September 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790862027

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDAWN BENSONCredential: DDS

Location Address7810 W JEFFERSON BLVDFort Wayne, IN 46804-4138

Mailing Address7810 W Jefferson BlvdFort Wayne, IN 46804-4138 · (260) 436-7175

Phone(260) 436-7175

Sole ProprietorYes

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790862027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12009930A

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.

7810 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dawn Benson Dds 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 September 17, 2015 through September 17, 2027.

Opt-Out Effective DateSeptember 17, 2015

Opt-Out In Effect ThroughSeptember 17, 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 46804 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 5

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

AFFORDABLE DENTURES & IMPLANTS - FORT WAYNE, P.C.

Dentist