Individual provider Active NPI

Dana Robert Verch, M.D.

  • Specialist
  • Folsom, CA
National Provider Identifier
1720064868
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G76299 Issued in CA
Practice address
1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541
Phone
(916) 983-2307
Fax
(916) 983-8528
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G76299 CA Primary

Addresses

Primary practice location

1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541

Mailing address

1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541
Phone (916) 983-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000352 CA Practitioner - Orthopedic Surgery 0042295867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76299CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elwood Paul Reid MD Inc Past Accepting new patients
Dana R. Verch, M.D.,Inc Specialist PastSince Apr 1, 2004 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1720064868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 CREEKSIDE DR",
            "address_2": "SUITE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303541",
            "telephone_number": "916-983-2307",
            "fax_number": "916-983-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 CREEKSIDE DR",
            "address_2": "SUITE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303541",
            "telephone_number": "916-983-2307",
            "fax_number": "916-983-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCH",
        "first_name": "DANA",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G76299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.