Individual provider Active NPI

Geoffrey F Velpel, DDS

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1497891774
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8624 Issued in IN
Practice address
9925 Coldwater Road
Fort Wayne, IN 46825-2037
Phone
(260) 489-8435
Fax
(260) 489-8535
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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 8624 IN Primary

Addresses

Primary practice location

9925 Coldwater Road
Fort Wayne, IN 46825-2037

Mailing address

11319 Kings Xing
Fort Wayne, IN 46845-1452
Phone (260) 602-5996

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

State licenses

LicenseStateTypeSpecialty
8624INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1497891774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 KINGS XING",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451452",
            "telephone_number": "260-602-5996",
            "fax_number": "260-338-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 COLDWATER ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252037",
            "telephone_number": "260-489-8435",
            "fax_number": "260-489-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELPEL",
        "first_name": "GEOFFREY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.