Thomas W Bucker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036984 Issued in NY

Practice address

515 Columbia Dr
Johnson City, NY 13850

Phone

(607) 770-1122

Fax

(607) 770-1176

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Carpathian Dental Assoc

  • Clinic/Center
  • Johnson City, NY
  • NPI 1861525578
  NPD (past) Authorized official
• Marusich & Conti Dental, PLLC

  dba Columbia Dental Group

  • General Practice Dentistry
  • Johnson City, NY
  • NPI 1891825600
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235262965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-770-1122",
            "fax_number": "607-770-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-770-1122",
            "fax_number": "607-770-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKER",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara H Brozovic, FNP
• Jessica Ann Bruce, OT
• Dianne Brunner, PT
• Brianna Bruster
• Razvan Florin Buciuc, M.D.
• Kaitlin Marie Buckley, M.S. SLP
• Vejay Budhu
• Brandi Jo Budinger
• Jennifer Bunao, DPT
• Tamara Burger, CNM

• General Practice Dentistry in Johnson City, NY
• Providers in Johnson City, NY by specialty
• General Practice Dentistry in New York

• 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.