Individual provider Active NPI

Nandan Buch, DDS MPH

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norfolk, VA
National Provider Identifier
1043750656
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401417594 Issued in VA
Practice address
5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530
Phone
(757) 978-2177
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
0401417594VAMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401417594 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Mailing address

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530
Phone (757) 978-2177

Other practice location 1

1775 Grand Concourse
6th Floor
Bronx, NY 10453-8202
Phone (718) 901-8410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1043750656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022530",
            "telephone_number": "757-978-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022530",
            "telephone_number": "757-978-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Grand Concourse",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "718-901-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCH",
        "first_name": "NANDAN",
        "name_prefix": "Dr.",
        "credential": "DDS MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401417594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.