Individual provider Active NPI

Jerry A Voich, DMD

  • General Practice Dentistry
  • N Huntingdon, PA
National Provider Identifier
1639261803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023538-L Issued in PA
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
75922OtherPAUNISON
6110OtherPADDS OF PA
VO124080OtherPAUNITED CONCORDIA
0009114240004MedicaidPA

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
DS023538-LPAMDGeneral 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.

Verify at the official NPI Registry.