Justin DO
NPI 1336993617 · Dentist · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin DO is a Dentist provider in Fort Wayne, IN (NPI 1336993617).
Provider details
- NPI number
- 1336993617
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12014441A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$100 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Frequently asked questions
- What is Justin DO's NPI number?
- Justin DO's National Provider Identifier (NPI) is 1336993617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin DO's specialty?
- Justin DO is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Justin DO located?
- Justin DO's practice location on file with NPPES is 1717 S Calhoun St, Fort Wayne, IN 46802-5257.
- What is Justin DO's phone number?
- The practice phone number listed in the NPPES registry for Justin DO is (260) 458-2641.
- Does Justin DO accept Medicare?
- Justin DO is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin DO's NPI active?
- Yes — Justin DO's NPI (1336993617) is active in the NPPES registry as of the last update on 2024-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.