Active NPI
James K Buckley, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1144456914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18636
- Practice address
- 1006 N Florida Ave
Tampa, FL 33602-3808 - Phone
- (813) 223-3266
- NPI assigned
- Jun 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18636 | FL | Primary |
Addresses
Primary practice location
1006 N Florida Ave
Tampa, FL 33602-3808
Mailing address
15210 Amberly Dr Apt 1622
Tampa, FL 33647-2193
Phone (941) 544-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307002514 | FL | Order and Referring Only - Other (Physician) | 3375827553 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1144456914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15210 AMBERLY DR APT 1622",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472193",
"telephone_number": "941-544-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N FLORIDA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023808",
"telephone_number": "813-223-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "JAMES",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-06",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.