Active NPI
Jerry A Voich, DMD
- General Practice Dentistry
- N Huntingdon, PA
National Provider Identifier
1639261803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS023538-L
- Practice address
- 2690 Farm Spur Rd
N Huntingdon, PA 15642-3082 - Phone
- (724) 864-1998
- NPI assigned
- Sep 28, 2006
- 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 | DS023538-L | PA | Primary |
Addresses
Primary practice location
2690 Farm Spur Rd
N Huntingdon, PA 15642-3082
Mailing address
2690 Farm Spur Rd
N Huntingdon, PA 15642-3082
Phone (724) 864-1998
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75922 | Other | PA | UNISON |
| 6110 | Other | PA | DDS OF PA |
| VO124080 | Other | PA | UNITED CONCORDIA |
| 0009114240004 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS023538-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639261803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 FARM SPUR RD",
"city": "N HUNTINGDON",
"state": "PA",
"postal_code": "156423082",
"telephone_number": "724-864-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 FARM SPUR RD",
"city": "N HUNTINGDON",
"state": "PA",
"postal_code": "156423082",
"telephone_number": "724-864-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOICH",
"first_name": "JERRY",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS023538-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "75922",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDS OF PA",
"identifier": "6110",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "VO124080",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009114240004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Huntingdon, PA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.