Individual provider Active NPI

Daniel Newton Veerkamp, DMD

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1841801727
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013463A Issued in IN
Practice address
9019 Lima Rd
Fort Wayne, IN 46818-1801
Phone
(260) 489-4090
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12013463A IN Primary

Addresses

Primary practice location

9019 Lima Rd
Fort Wayne, IN 46818-1801

Mailing address

10828 Shiregreen LN
Fort Wayne, IN 46814-9322
Phone (260) 241-8811

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
12013463AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Road Dentistry PastSince Aug 23, 2020 Accepting new patients
Lima Road Dentistry, PC General Practice PastSince Aug 23, 2020 Accepting new patients

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1841801727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 SHIREGREEN LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149322",
            "telephone_number": "260-241-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181801",
            "telephone_number": "260-489-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERKAMP",
        "first_name": "DANIEL",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013463A",
            "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 Aug 13, 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.