Active NPI
Daniel Newton Veerkamp, DMD
- General Practice Dentistry
- Fort Wayne, IN
National Provider Identifier
1841801727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013463A
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12013463A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Road Dentistry | Past | Accepting new patients | |
| Lima Road Dentistry, PC | General Practice | Past | 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.
-
- Dental Clinic/Center
- Fort Wayne, IN
- NPI 1710548326
-
- General Practice Dentistry
- Fort Wayne, IN
- NPI 1275668865
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.