Individual provider Active NPI

John A. Busciglio, D.D.S.,M.S.,P.A.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brandon, FL
National Provider Identifier
1255455960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN4259 Issued in FL
Practice address
515 Corner Dr
Brandon, FL 33511-5718
Phone
(813) 681-9473
Fax
(813) 654-0647
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN4259 FL Primary

Addresses

Primary practice location

515 Corner Dr
Brandon, FL 33511-5718

Mailing address

515 Corner Dr
Brandon, FL 33511-5718
Phone (813) 681-9473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN4259FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255455960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CORNER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115718",
            "telephone_number": "813-681-9473",
            "fax_number": "813-654-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CORNER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115718",
            "telephone_number": "813-681-9473",
            "fax_number": "813-654-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCIGLIO",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.