Travis Matthew Van Roekel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09913 Issued in IA

Practice address

1311 Hawkeye Ave SW
Le Mars, IA 51031-1866

Phone

(712) 546-5183

NPI assigned

Jun 21, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Le Mars Dental Center

  • General Practice Dentistry
  • Le Mars, IA
  • NPI 1124710306
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1043889546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 HAWKEYE AVE SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510311866",
            "telephone_number": "712-546-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 HAWKEYE AVE SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510311866",
            "telephone_number": "712-546-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ROEKEL",
        "first_name": "TRAVIS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Trimble, LBSW
• True Health Chiropractic, LLC
• Peyton Turner, LMSW
• Katie Ann Van Den Hul
• Thomas Van Engelenhoven, MA
• Joshua Van Zweden, CADC
• Kari Varner, ARNP
• Isabelle Veloz-Pawletzki, LPN
• Wal-Mart Stores, Inc.
• Kendra Walker, ARNP

• General Practice Dentistry in Le Mars, IA
• Providers in Le Mars, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.