Individual provider Active NPI

Michael J Buckley, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensburg, PA
National Provider Identifier
1154302859
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS027526L Issued in PA
Practice address
31 N Maple Ave
Greensburg, PA 15601-2503
Phone
(724) 837-7770
Fax
(724) 838-7731
NPI assigned
Nov 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DS027526L PA Primary

Addresses

Primary practice location

31 N Maple Ave
Greensburg, PA 15601-2503

Mailing address

31 N Maple Ave
Greensburg, PA 15601-2503
Phone (724) 837-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000411 PA Practitioner - Oral Surgery 0941251136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery, LTD. Oral and Maxillofacial Surgery CurrentSince Jan 3, 2005 Accepting new patients
University Dental Health Services, Inc. Oral and Maxillofacial Surgery Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

31 N Maple Ave
Greensburg, PA 15601
Phone (724) 837-7770

4771 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-0017

Interoperability endpoints

  • Direct secure messaging: mbuckley@direct.excelahealth.org

Organizations & group practices 3

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154302859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N MAPLE AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012503",
            "telephone_number": "724-837-7770",
            "fax_number": "724-838-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N MAPLE AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012503",
            "telephone_number": "724-837-7770",
            "fax_number": "724-838-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS027526L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.