Dr. Brian Lee Bouck, DDS
Dr. Brian Lee Bouck is a General Practice Dentistry provider (Dentist) practicing in Waterloo, IA, registered in the NPPES registry with NPI 1073757910 since 2009. The credential DDS stands for Doctor of Dental Surgery. Practices at Kpt LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073757910 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Brian Lee Bouck |
| Credential | DDS |
| Sex | Male |
| Practice address | 315 E SAN MARNAN DR, Waterloo, IA, 50702 |
| Phone | 3192356287 |
| Enumeration date | 2009-04-22 |
| Last updated in NPPES | 2009-04-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 6490 | IA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Brian Bouck, DDS NPI: 1073757910 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 315 E SAN MARNAN DR, Waterloo, IA, 50702
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881693372 | Jeffrey Kemp | Individual | Physical Therapist | Waterloo, IA |
| 1912918269 | Beau Beecher | Individual | General Practice Dentistry | Waterloo, IA |
| 1639180920 | Eric Kimball | Individual | General Practice Dentistry | Waterloo, IA |
| 1164738027 | Kpt LLC | Organization | Physical Therapy Clinic/Center | Waterloo, IA |
| 1679915466 | Amy Putney | Individual | Specialist | Waterloo, IA |
Verify this record
Cross-check NPI 1073757910 against the authoritative CMS record: view Dr. Brian Lee Bouck on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-22.