Individual provider Active NPI

Louis J Korpics Jr., DDS

  • General Practice Dentistry
  • Ashland, VA
National Provider Identifier
1366481673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007653 Issued in VA
Practice address
130 Thompson St
Ashland, VA 23005-1526
Phone
(804) 798-2776
Fax
(804) 798-3110
NPI assigned
Jun 5, 2006
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 0401007653 VA Primary

Addresses

Primary practice location

130 Thompson St
Ashland, VA 23005-1526

Mailing address

130 Thompson St
Ashland, VA 23005-1526
Phone (804) 798-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150630000250 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305158635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007653VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366481673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMPSON ST",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051526",
            "telephone_number": "804-798-2776",
            "fax_number": "804-798-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMPSON ST",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051526",
            "telephone_number": "804-798-2776",
            "fax_number": "804-798-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORPICS",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.