Susan Jean Buck-Wischmeier, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11054 Issued in MN

Practice address

Comdt US Coast Guard
2100 2ND St. SW Suite 5314
Washington, DC 20593-0001

Phone

(808) 842-2930

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1184729667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-123 MIKIOLA DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442437",
            "telephone_number": "808-235-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMDT US COAST GUARD",
            "address_2": "2100 2ND ST. SW SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "808-842-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK-WISCHMEIER",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15377",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Bucheister, LGSW
• Jena Tulin Buchholz, LCSW
• Ryan M Buchholz, M.D.
• Mark Lee Buchly, M.D.
• Alicia R Buchwalter, MD
• Andrea Carol Buck, M.D.
• Claudiu Cristian Buck, DDS, DMD
• David R Buck, MD
• Lizette Buck
• Chester Church Buckenmaier III, M.D.

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.