Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306844667 Individual Practitioner Male Practitioner

Dr. Brian Lee Secrist , DDS

Dentist - General Practice • Danville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Secrist, DDS is a registered healthcare professional specializing in Dentist - General Practice in Danville, IL. Practice services are available at 1900 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 E Main St

Danville, IL 618325100

Telephone 2175545859
Associated Practice Facility / Clinic
🏢 Danville Vamc Facility NPI 1508824418

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Danville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Danville, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 105294

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Plamen Alexandrov , PT

Physical Therapist

NPI 1003076308

Physical Therapist

Dr. Jennifer Reedy , OTD

Occupational Therapist - Mental Health

NPI 1003678434

Doctor of Occupational Therapy

Taylor Grove

Pharmacist

NPI 1003772203
Dr. James Falk , PhD

Psychologist - Clinical

NPI 1013019835

Doctor of Philosophy (Ph.D.)

Alison Ciulini

Social Worker

NPI 1013274802
Nancy Allen , MSRD

Dietitian, Registered

NPI 1023124138

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 24, 2024

Registered at 1900 E MAIN ST, DANVILLE, IL 618325100 (Tel: 2175545859)

📍
Updated Business Mailing Address October 24, 2024

Registered at 24206 MATEO RDG, SAN ANTONIO, TX 782614504 (Tel: 3038596016)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 7418 S QUAIL CIR, #1321, LITTLETON, CO 801275896 (Tel: 3038596016)

📍
Updated Business Mailing Address March 23, 2017

Registered at 7418 S QUAIL CIR, #1321, LITTLETON, CO 801275896 (Tel: 3038596016)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as BRIAN SECRIST, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Dentist (License #105294 in CO)

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2015

Registered at 12999 W BOWLES DR, LITTLETON, CO 801274641 (Tel: 3039899010)

📍
Updated Business Mailing Address April 17, 2015

Registered at 12999 W BOWLES DR, LITTLETON, CO 801274641 (Tel: 3039899010)

👤
Provider Name / Credentials Updated April 17, 2015

Recorded as BRIAN SECRIST, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Dentist (License #105294 in CO)

🟢
Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306844667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: October 24, 2024
Sole Proprietor: Yes

Mailing Address

24206 Mateo Rdg

San Antonio, TX 782614504

Phone: 3038596016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.