Active NPI
Christopher Allan Buck, DDS
- Dentist
- West Bend, WI
National Provider Identifier
1184760894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3023
- Practice address
- 1713 N Main Street
West Bend, WI 53090 - Phone
- (262) 334-4083
- Fax
- (262) 334-4996
- NPI assigned
- Jan 29, 2007
- 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 | 3023 | WI | Primary |
Addresses
Primary practice location
1713 N Main Street
West Bend, WI 53090
Mailing address
1713 N Main Street
West Bend, WI 53090
Phone (262) 334-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20150527002448 | WI | Order and Referring Only - Dentist | 0941520274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dowden CD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184760894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 N MAIN STREET",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53090",
"telephone_number": "262-334-4083",
"fax_number": "262-334-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 N MAIN STREET",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53090",
"telephone_number": "262-334-4083",
"fax_number": "262-334-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "CHRISTOPHER",
"middle_name": "ALLAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.