DR. BRIAN LEE BOUCK DDS
NPI 1073757910
Dentist - General Practice in Waterloo, IA

NPI Status: Active since April 22, 2009

Contact Information

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702
Phone: (319) 235-6287

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance

About BRIAN BOUCK

This page provides the complete NPI Profile along with additional information for Brian Bouck, a provider established in Waterloo, Iowa with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073757910 assigned on April 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 6490 (IA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1073757910
Provider Name
DR. BRIAN LEE BOUCK DDS
Gender
Male
Entity Type
Individual
Location Address
315 E SAN MARNAN DR WATERLOO, IA 50702
Location Phone
(319) 235-6287
Mailing Address
315 E SAN MARNAN DR WATERLOO, IA 50702
Mailing Phone
(319) 235-6287
Is Sole Proprietor?
No
Enumeration Date
04-22-2009
Last Update Date
04-22-2009
Code Navigator

A dentist like Brian Bouck is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
6490
License State
IA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for DR. BRIAN LEE BOUCK DDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073757910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431451492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 5 + 1 + 4 + 9 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073757910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

JEFFREY ALAN KEMP MS, PT

Physical Therapist

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702

(319) 239-5009

DR. BEAU MARCUS BEECHER D.D.S.

Dentist

(General Practice)

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702

(319) 235-6287

DR. ERIC LEE KIMBALL D.D.S.

Dentist

(General Practice)

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702

(319) 235-6287

KPT LLC

Clinic/Center

(Physical Therapy)

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702

(319) 239-5009

MRS. AMY DIANE PUTNEY M.A.

Specialist

315 E SAN MARNAN DR
WATERLOO, IA
ZIP 50702

(319) 830-1254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073757910, enumerated as an "individual" on April 22, 2009.

The provider is located at 315 E SAN MARNAN DR WATERLOO, IA 50702 and the phone number is (319) 235-6287.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.