Debra B Carneol, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7594 Issued in IA

Practice address

525 W Cherry St
North Liberty, IA 52317-9797

Phone

(319) 626-2300

Fax

(319) 626-3503

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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.

• North Liberty Dental Services P.C.

  • Dentist
  • North Liberty, IA
  • NPI 1245407444
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215089149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAINT ANDREWS DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179787",
            "telephone_number": "319-626-4955",
            "fax_number": "319-626-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHERRY ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179797",
            "telephone_number": "319-626-2300",
            "fax_number": "319-626-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEOL",
        "first_name": "DEBRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179390",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie A. Burmeister, PHARM.D.
• Bradly W. Bussewitz, D.P.M.
• Daryl Byrd, LISW
• C.R. Pharmacy Service, Inc.
• Danielle Canaday
• Madonna Susan Carr, P.A.-C
• Mallory Carr, M.A.
• Ana A Cary, M.D.
• Yoselin Maria Montes Castillo-Yip
• Erin Caylor, PHARMD

• All providers in North Liberty, IA
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.