Individual provider Active NPI

Le'Erin Voss, DDS

  • Dentist
  • Hartford, WI
National Provider Identifier
1629680640
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100241015 Issued in WI
Practice address
1163 Grand Ave
Hartford, WI 53027-2458
Phone
(262) 673-7826
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100241015 WI Primary

Addresses

Primary practice location

1163 Grand Ave
Hartford, WI 53027-2458

Mailing address

600 N Thornbush Cir
Hartland, WI 53029-8648
Phone (262) 352-7009

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
100241015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Avenue Dental Care, LLC CurrentSince Jan 14, 2024 Accepting new patients
Peter F Wilk D.D.S. Dentist PastSince Aug 23, 2020 Accepting new patients

Locations

1163 Grand Ave
Hartford, WI 53027
Phone (262) 673-7826

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1629680640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N THORNBUSH CIR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298648",
            "telephone_number": "262-352-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 GRAND AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272458",
            "telephone_number": "262-673-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "LE'ERIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100241015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.