Gregory D Buchanan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT20901901 Issued in IN

Practice address

1649 E 80TH Ave Ste 407
Merrillville, IN 46410-5737

Phone

(219) 614-2777

Fax

(219) 945-0412

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1114638434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LAKE PARK AVE APT E4S",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463423026",
            "telephone_number": "219-805-4155",
            "fax_number": "219-945-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 E 80TH AVE STE 407",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105737",
            "telephone_number": "219-614-2777",
            "fax_number": "219-945-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20901901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Brown, NP-C
• Anthony A Brucci, DMD
• Melanie Bruce
• Drew E Brummell, LCSW
• Karen Bryant
• David R Bucur, PH.D.
• Kim Buford, FNP
• Emily Bugarin, RBT
• Lori J Bugielski
• Peyton Buikema

• Massage Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.