Individual provider Active NPI

Andrew Joseph Voelkel, D.D.S.

  • General Practice Dentistry
  • Covington, LA
National Provider Identifier
1063564391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2884 Issued in LA
Practice address
604 S Tyler St
Covington, LA 70433-3346
Phone
(985) 892-2273
Fax
(985) 892-2579
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2884 LA Primary

Addresses

Primary practice location

604 S Tyler St
Covington, LA 70433-3346

Mailing address

604 S Tyler St
Covington, LA 70433-3346
Phone (985) 892-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412000230 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244538023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2884LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Davenport Family Dentistry, LLC Past Accepting new patients

Networks

  • LA PPO C-SNP

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063564391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333346",
            "telephone_number": "985-892-2273",
            "fax_number": "985-892-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333346",
            "telephone_number": "985-892-2273",
            "fax_number": "985-892-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOELKEL",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.