Individual provider Active NPI

Alissa Marie Buchanan, RDH

  • Dental Hygienist
  • Coppell, TX
National Provider Identifier
1093942187
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
12893 Issued in TX
Practice address
761 S Macarthur Blvd
Suite 117
Coppell, TX 75019-4227
Phone
(972) 393-9700
NPI assigned
Jun 16, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 12893 TX Primary

Addresses

Primary practice location

761 S Macarthur Blvd
Suite 117
Coppell, TX 75019-4227

Mailing address

761 S Macarthur Blvd
Suite 117
Coppell, TX 75019-4227
Phone (972) 393-9700

Other names 1

  • Mrs. Alissa Marie Sieja Other name

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
12893TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1093942187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S MACARTHUR BLVD",
            "address_2": "SUITE 117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194227",
            "telephone_number": "972-393-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MACARTHUR BLVD",
            "address_2": "SUITE 117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194227",
            "telephone_number": "972-393-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "12893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "SIEJA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.