Individual provider Active NPI

Jeremy Louk, DMD

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1346473402
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29707 Issued in TX
Practice address
1 Chisholm Trail Rd Ste 3130
Round Rock, TX 78681-5002
Phone
(512) 255-9061
Fax
(512) 255-1422
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29707 TX Primary
Dentist 122300000X D4248 ID

Addresses

Primary practice location

1 Chisholm Trail Rd Ste 3130
Round Rock, TX 78681-5002

Mailing address

1 Chisholm Trail Rd Ste 3130
Round Rock, TX 78681-5002
Phone (512) 255-9061

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
D4248IDMDDentist
29707TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1346473402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 3130",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815002",
            "telephone_number": "512-255-9061",
            "fax_number": "512-255-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 3130",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815002",
            "telephone_number": "512-255-9061",
            "fax_number": "512-255-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUK",
        "first_name": "JEREMY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29707",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.