Dr Walter B Busse &Associates LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019014809 Issued in IL

Legal business name

DR WALTER B BUSSE &ASSOCIATES LTD

Practice address

536 E 162ND St
South Holland, IL 60473-2326

Phone

(708) 331-2322

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Walter Berge Busse, DDS

Title

President

Phone

(708) 331-2322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1154578698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732326",
            "telephone_number": "708-331-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732326",
            "telephone_number": "708-331-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WALTER B BUSSE &ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BUSSE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "BERGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-331-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019014809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores & Lillie'S Place LLC
• Clinton Donald Jr.
• Katrina Michelle Donald
• Gloria Dotson-Lewis, LCSW
• Dr Sam DMD PC
• Dr. Stephen Shulman, P.C.
• Addoria Driver, MFT
• Shweta Singh Duggal, MBBS
• Eagle Healthy Living Inc
• Eagle Healthy Living Inc

• Oral and Maxillofacial Surgery (Dentist) in South Holland, IL
• Providers in South Holland, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.