Individual provider Active NPI

Louquis Canty Belk

  • General Practice Dentistry
  • Ridgeway, SC
National Provider Identifier
1902859135
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3414 Issued in SC
Practice address
755 US Highway 21 S
Ridgeway, SC 29130-6844
Phone
(803) 337-2920
Fax
(803) 337-3010
NPI assigned
May 18, 2006
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 3414 SC Primary

Addresses

Primary practice location

755 US Highway 21 S
Ridgeway, SC 29130-6844

Mailing address

PO Box 3788
Columbia, SC 29230-3788
Phone (803) 733-5969

Other identifiers 1

IdentifierTypeStateIssuer
Z34142MedicaidSC

Other names 1

  • Louquis Patrell Canty Belk Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20161222000747 SC Practitioner - Dentist 4284915653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Oct 13, 2016 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Oct 13, 2016 Accepting new patients
Eau Claire Cooperative Health Center, Inc Past Accepting new patients
Eau Claire Cooperative Health Center, Inc. General Practice Past Accepting new patients

Locations

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

755 US Highway 21 S
Ridgeway, SC 29130
Phone (803) 337-2920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1902859135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303788",
            "telephone_number": "803-733-5969",
            "fax_number": "803-217-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 US HIGHWAY 21 S",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291306844",
            "telephone_number": "803-337-2920",
            "fax_number": "803-337-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELK",
        "first_name": "LOUQUIS",
        "middle_name": "CANTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z34142",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUQUIS",
            "last_name": "BELK",
            "middle_name": "PATRELL CANTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgeway, SC

Sources for this page

Verify at the official NPI Registry.