Active NPI
Dan William Joachim, M.D.
- Clinical Neurophysiology Physician
- Covington, LA
National Provider Identifier
1407972680
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Aug 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 019070
- Practice address
- 76 Starbrush Cir
Covington, LA 70433-7208 - Phone
- (985) 871-6800
- Fax
- (866) 845-8810
- NPI assigned
- Mar 21, 2007
- Last updated
- Feb 22, 2008
- 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 |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 019070 | LA | Primary |
Addresses
Primary practice location
76 Starbrush Cir
Covington, LA 70433-7208
Mailing address
76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 871-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19070 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Physiological Associates | Clinical Neurophysiology | Past | Accepting new patients |
| Texas Neuro Physiological Associates, P.a. | Clinical Neurophysiology | Past | Accepting new patients |
| Neuro Physiological Associates of Georgia, P.C. | Clinical Neurophysiology | Past | Accepting new patients |
| Physicians Analytical Services, LLC | Clinical Neurophysiology | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Clinical Neurophysiology Physician
- Mendeville, LA
- NPI 1134277189
-
- Clinical Neurophysiology Physician
- Covington, LA
- NPI 1750531471
-
- Clinical Neurophysiology Physician
- Covington, LA
- NPI 1184874810
-
- Clinical Neurophysiology Physician
- Covington, LA
- NPI 1497906671
-
- Clinical Neurophysiology Physician
- Covington, LA
- NPI 1336399062
-
- Clinical Neurophysiology Physician
- Mandeville, LA
- NPI 1932218609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1407972680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STARBRUSH CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337208",
"telephone_number": "985-871-6800",
"fax_number": "866-845-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 STARBRUSH CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337208",
"telephone_number": "985-871-6800",
"fax_number": "866-845-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOACHIM",
"first_name": "DAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "LA",
"license": "019070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.