Individual provider Active NPI

Craig E Buchmann, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Keller, TX
National Provider Identifier
1144272832
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15699 Issued in TX
Practice address
1139 Keller Pkwy
Keller, TX 76248-3614
Phone
(817) 379-1654
Fax
(817) 379-1643
NPI assigned
May 17, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15699 TX Primary

Addresses

Primary practice location

1139 Keller Pkwy
Keller, TX 76248-3614

Mailing address

440 W Interstate Hwy 635
Suite 445
Irving, TX 75063-3811
Phone (972) 401-8301

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15699TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1144272832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W INTERSTATE HWY 635",
            "address_2": "SUITE 445",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633811",
            "telephone_number": "972-401-8301",
            "fax_number": "972-444-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-379-1654",
            "fax_number": "817-379-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHMANN",
        "first_name": "CRAIG",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "15699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.