Organization Active NPI

Al Bucaj DMD PA

  • Dentist
  • Vero Beach, FL
National Provider Identifier
1245673904
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17124 Issued in FL
Legal business name
AL BUCAJ DMD PA
Practice address
1880 37TH St
Suite 3
Vero Beach, FL 32960-6591
Phone
(772) 567-9550
Fax
(772) 567-9517
NPI assigned
Apr 12, 2013
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Al Bucaj, DMD
Title
President/Owner
Phone
(772) 567-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17124 FL Primary

Addresses

Primary practice location

1880 37TH St
Suite 3
Vero Beach, FL 32960-6591

Mailing address

1880 37TH St
Suite 3
Vero Beach, FL 32960-6591
Phone (772) 567-9550

National Provider Directory

National Provider Directory

Locations

1880 37th St
Ste 3
Vero Beach, FL 32960
Phone (772) 567-9550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1245673904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 37TH ST",
            "address_2": "SUITE 3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606591",
            "telephone_number": "772-567-9550",
            "fax_number": "772-567-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 37TH ST",
            "address_2": "SUITE 3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606591",
            "telephone_number": "772-567-9550",
            "fax_number": "772-567-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL BUCAJ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BUCAJ",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "772-567-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.