Kelsey Elizabeth Buckley, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

7141 Issued in NE

Practice address

1919 S 40TH St Ste 103
Lincoln, NE 68506-5259

Phone

(402) 488-0959

Fax

(402) 488-2169

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelsey Elizabeth Cochran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1013329879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065259",
            "telephone_number": "402-488-0959",
            "fax_number": "402-488-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065259",
            "telephone_number": "402-488-0959",
            "fax_number": "402-488-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "COCHRAN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Buckbee, RN
• Dara Joan Buckendahl, RN, BSN
• Deborah Sue Buckley
• John F Buckley, M.D.
• Kay-Lee Buckley
• Kerstin Buckley
• Danielle Dawn Buda, M.D.
• Reanna Buddecke
• Emily Buddenberg
• William C Budka-Gray

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.