Andrew Luke Pocock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9987 Issued in CO

Practice address

241 4TH Ave N
Twin Falls, ID 83301-6139

Phone

(303) 808-3489

Fax

(208) 733-2690

NPI assigned

Sep 29, 2009

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1356675920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 4TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016139",
            "telephone_number": "303-808-3489",
            "fax_number": "208-733-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 4TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016139",
            "telephone_number": "303-808-3489",
            "fax_number": "208-733-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCOCK",
        "first_name": "ANDREW",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Griffiths Piper, PHD CCC-SLP
• Jonathan B Pittard, PA-C
• Rachel Dawn Pizano, RC
• Ethan Plager
• Mark A Plant, DDS, PA
• Kent R Pocock, D.D.S.
• Brandon J Pollard, DPT
• Poppleton Family Dentistry
• Kyle David Poppleton, DDS
• Lori Ann Poppleton, RPH

• General Practice Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.