Individual provider Active NPI

Vincent Buscemi, D.D.S

  • Dentist
  • Bloomfield Hills, MI
National Provider Identifier
1235543018
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021212 Issued in MI
Practice address
60 W Big Beaver Rd Ste 140
Bloomfield Hills, MI 48304-3913
Phone
(248) 654-8848
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021212 MI Primary

Addresses

Primary practice location

60 W Big Beaver Rd Ste 140
Bloomfield Hills, MI 48304-3913

Mailing address

60 W Big Beaver Rd Ste 140
Bloomfield Hills, MI 48304-3913
Phone (248) 654-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 21, 2015 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901021212MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1235543018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 140",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043913",
            "telephone_number": "248-654-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 140",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043913",
            "telephone_number": "248-654-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCEMI",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.