Organization Active NPI

Dr Charles Handy DDS

  • Dentist
  • Keosauqua, IA
National Provider Identifier
1154492684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5694 Issued in IA
Legal business name
DR CHARLES HANDY DDS
Practice address
716 1St Street
Keosauqua, IA 52652
Phone
(319) 293-3429
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Toni M Dehart
Title
Manager
Phone
(319) 293-3429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5694 IA Primary

Addresses

Primary practice location

716 1St Street
Keosauqua, IA 52652

Mailing address

716 1St Street
Keosauqua, IA 52652
Phone (319) 293-3429

Other identifiers 1

IdentifierTypeStateIssuer
5694OtherIAIOWA LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154492684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 1ST STREET",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "52652",
            "telephone_number": "319-293-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 1ST STREET",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "52652",
            "telephone_number": "319-293-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES HANDY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-293-3429",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "5694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "5694",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.