Marie Yvette Mandilag Buan Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44294 Issued in CA

Practice address

7855 La Palma Ave
Ste.2
Buena Park, CA 90620-1951

Phone

(714) 736-0501

Fax

(714) 736-0545

NPI assigned

Jan 31, 2007

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marie Yvette M.Buan DDS Inc.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1902943756
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164569950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 LA PALMA AVE STE 2",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201957",
            "telephone_number": "714-736-0501",
            "fax_number": "714-736-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 LA PALMA AVE",
            "address_2": "STE.2",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201951",
            "telephone_number": "714-736-0501",
            "fax_number": "714-736-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUAN",
        "first_name": "MARIE YVETTE",
        "middle_name": "MANDILAG",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Buena Park, CA
• Providers in Buena Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.