Individual provider Active NPI

Daciana Buse, DDS, MSD

  • General Practice Dentistry
  • Redmond, WA
National Provider Identifier
1285718700
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010705 Issued in WA
Practice address
15955 NE 85TH St
Suite 101
Redmond, WA 98052-3550
Phone
(425) 883-2933
Fax
(425) 885-0146
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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 DE00010705 WA Primary

Addresses

Primary practice location

15955 NE 85TH St
Suite 101
Redmond, WA 98052-3550

Mailing address

15955 NE 85TH St
Suite 101
Redmond, WA 98052-3550
Phone (425) 883-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070118000530 WA Practitioner - Oral SurgeryPractitioner - Dentist 7113926999 Practice locations: Redmond, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daciana Buse DDS, MSD, PLLC General Practice Past Accepting new patients
NW Family Dental General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1285718700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-883-2933",
            "fax_number": "425-885-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-883-2933",
            "fax_number": "425-885-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSE",
        "first_name": "DACIANA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.