Individual provider Active NPI

Alyson Buchalter, D.M.D.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1235264391
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036388 Issued in NY
Practice address
388 Avenue X
Suite 1J
Brooklyn, NY 11223-6051
Phone
(718) 336-0450
Fax
(718) 336-0450
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036388 NY Primary

Addresses

Primary practice location

388 Avenue X
Suite 1J
Brooklyn, NY 11223-6051

Mailing address

388 Avenue X
Suite 1J
Brooklyn, NY 11223-6051
Phone (718) 336-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407000764 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406154418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036388NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1235264391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 AVENUE X",
            "address_2": "SUITE 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236051",
            "telephone_number": "718-336-0450",
            "fax_number": "718-336-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 AVENUE X",
            "address_2": "SUITE 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236051",
            "telephone_number": "718-336-0450",
            "fax_number": "718-336-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHALTER",
        "first_name": "ALYSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.