Lynda Kay Buckner

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

A2418 Issued in OR

Practice address

210 Deleglise St
Antigo, WI 54409-1329

Phone

(715) 610-3246

NPI assigned

Mar 30, 2013

Last updated

Mar 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364601600000",
    "number": "1104169960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DELEGLISE ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091329",
            "telephone_number": "715-610-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DELEGLISE ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091329",
            "telephone_number": "715-610-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "LYNDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "A2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Brandt, DPT
• Mary R Brayton, MS, OTR
• Stanley Ernest Brown, D.D.S.
• Angela Buchman, PA
• Mark G Buchman, MS, OTR
• Bula Chiropractic LLC (Bula Chiropractic)
• Stacy M Bula, DC
• Central Wisconsin Oral and Facial Surgery, LLC
• Emily Christianson, RDH
• City of Antigo

• Dental Assistant in Antigo, WI
• Providers in Antigo, WI by specialty
• Dental Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; 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.