NPIMap

Organization Active NPI

Donald a. Busbey D.D.S. Prof. Corp.

  • Dentist
  • Quincy, IL
National Provider Identifier
1285708610
Registry record updated Jul 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-019135 Issued in IL
Legal business name
DONALD A. BUSBEY D.D.S. PROF. CORP.
Practice address
124 N 12TH St
Quincy, IL 62301-3021
Phone
(217) 222-5058
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2008

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

Authorized official

Name
Dr. Donald A Busbey III, D.M.D.NPI 1538324512
Title
Pres.
Phone
(217) 222-5058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019-019135 IL Primary

Addresses

Primary practice location

124 N 12TH St
Quincy, IL 62301-3021

Mailing address

124 N 12TH St
Quincy, IL 62301-3021
Phone (217) 222-5058

National Provider Directory

National Provider Directory

Locations

124 N 12th St
Quincy, IL 62301
Phone (217) 222-5058

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216425600000",
    "number": "1285708610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013021",
            "telephone_number": "217-222-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013021",
            "telephone_number": "217-222-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A. BUSBEY D.D.S. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2008-07-19",
        "status": "A",
        "authorized_official_last_name": "BUSBEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "217-222-5058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-019135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; 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.