Active NPI
Dushan Rajko Voyich, DMD
- General Practice Dentistry
- Craig, CO
National Provider Identifier
1407903461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6607
- Practice address
- 200 W Victory Way
Craig, CO 81625-2704 - Phone
- (970) 824-6643
- Fax
- (970) 824-8933
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6607 | CO | Primary |
Addresses
Primary practice location
200 W Victory Way
Craig, CO 81625-2704
Mailing address
PO Box 939
Craig, CO 81626-0939
Phone (970) 824-6643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629002510 | CO | Order and Referring Only - Dentist | 3072825371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6607 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407903461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 939",
"city": "CRAIG",
"state": "CO",
"postal_code": "816260939",
"telephone_number": "970-824-6643",
"fax_number": "970-824-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W VICTORY WAY",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252704",
"telephone_number": "970-824-6643",
"fax_number": "970-824-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOYICH",
"first_name": "DUSHAN",
"middle_name": "RAJKO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "6607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
- Valley View Hospital Association (The Lung Center)
- Valley View Hospital Association
- Valley View Hospital Association
- Victory Vision Associates, PC
- Melissa Vides, OD
- Elija Voyich, DDS
- Nastassja Voyich, DMD
- VVMC Diversified Services (Vail Health Clinic Craig)
- Walgreen Co (Walgreens # 11617)
- Walgreen Co. (Walgreens #11617)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.