1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Dentist
  6. NPI Profile

DR. LOUIS FORMICA D.D.S.
NPI 1114308269
Dentist in Richmond, VA

Active since June 15, 2015PECOS Enrolled
520 N 12TH ST, RICHMOND, VA 23298(804) 828-3368 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Louis Formica D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOUIS FORMICA D.D.S. (NPI 1114308269) is an individual dentist in Richmond, Virginia, licensed in Virginia (0401414852) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114308269
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LOUIS FORMICACredential: D.D.S.
Location Address520 N 12TH STRichmond, VA 23298-5064
Mailing Address520 N 12th StRichmond, VA 23298-5064 · (804) 828-3368
Phone(804) 828-3368
Sole ProprietorYes
Enumeration DateJune 15, 2015
Last NPPES UpdateJanuary 28, 2019
✔ NPI 1114308269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401414852
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
520 N 12TH ST, Richmond, VA 23298
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Louis Formica D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHRZAD ORENDUFF D.D.S.
Dentist (General Practice)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. JESSICA GILL DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 571-0357
DR. DEAN M DELUKE DDS
Oral & Maxillofacial Surgery
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-6637
SAMUEL TACK
Dentist (Oral and Maxillofacial Surgery)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-7146
BRANDON KHOR
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
ALI REZA MOJARAD DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
WILLIAM BANKS LEE DMD
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. NITYA REDDY DDS
Dentist (Periodontics)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louis Formica's NPI number?

The NPI number for Louis Formica is 1114308269. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Louis Formica located?

Louis Formica practices at 520 N 12th St, Richmond, VA 23298. The listed phone number is (804) 828-3368.

What is Louis Formica's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Louis Formica enrolled in Medicare?

Yes. Louis Formica is registered in the Medicare PECOS enrollment system.

What insurance does Louis Formica accept?

Health plans from Humana list Louis Formica as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Louis Formica was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.