Active NPI
Carney Daniel Loucks, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newton, IA
National Provider Identifier
1992824965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6684
- Practice address
- 411 E 17TH St S
Newton, IA 50208-4057 - Phone
- (641) 792-7811
- Fax
- (641) 791-7090
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6684 | IA | Primary |
Addresses
Primary practice location
411 E 17TH St S
Newton, IA 50208-4057
Mailing address
411 E 17TH St S
Newton, IA 50208-4057
Phone (641) 792-7811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202689 | Medicaid | IA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6684 | IA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992824965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E 17TH ST S",
"city": "NEWTON",
"state": "IA",
"postal_code": "502084057",
"telephone_number": "641-792-7811",
"fax_number": "641-791-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E 17TH ST S",
"city": "NEWTON",
"state": "IA",
"postal_code": "502084057",
"telephone_number": "641-792-7811",
"fax_number": "641-791-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUCKS",
"first_name": "CARNEY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IA",
"license": "6684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202689",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.