Individual provider Active NPI

Charles Arthur Handy, D.D.S

  • General Practice Dentistry
  • Keosauqua, IA
National Provider Identifier
1356325864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5694 Issued in IA
Practice address
716 1St Street
Keosauqua, IA 52565
Phone
(319) 293-3429
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5694 IA Primary

Addresses

Primary practice location

716 1St Street
Keosauqua, IA 52565

Mailing address

716 1St Street
Keosauqua, IA 52652
Phone (319) 293-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114002723 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052614617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05694IAMDClinical Social Worker
5694IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Charles Handy DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356325864",
    "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": "319-293-3428",
            "fax_number": "319-293-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 1ST STREET",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "52565",
            "telephone_number": "319-293-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDY",
        "first_name": "CHARLES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

Verify at the official NPI Registry.