Active NPI
Nandan Buch, DDS MPH
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norfolk, VA
National Provider Identifier
1043750656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401417594
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417594 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401417594 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.