Todd Scott Busdiecker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020474 Issued in OH

Practice address

4874 Wunnenberg Way
West Chester, OH 45069-4863

Phone

(513) 860-1940

Fax

(513) 590-1995

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• KY PPO C-SNP
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

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.

• Dayton Dental Collaborative

  • General Practice Dentistry
  • Dayton, OH
  • NPI 1144465907
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003896473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694863",
            "telephone_number": "513-860-1940",
            "fax_number": "513-590-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694863",
            "telephone_number": "513-860-1940",
            "fax_number": "513-590-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSDIECKER",
        "first_name": "TODD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharde Reene Burress
• Cody Burton
• Dana Ruth Burton, FNP-BC
• Amy Buschur, APRN-CNP, PMHNP-BC
• Vicki Buschur
• Charles Ryan Bussard, LPC
• Cheryl Lynn Busse, RPH
• Hannah Jeanette-Hastings Butcher, MSW, LSW
• Butler County Back and Pain Center
• Christina Butler, OT

• General Practice Dentistry in West Chester, OH
• Providers in West Chester, OH by specialty
• General Practice Dentistry in Ohio

• 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.

Verify at the official NPI Registry.