Active NPI
Richard Lee Buss, DDS
- General Practice Dentistry
- Mt Pleasant, IA
National Provider Identifier
1285768804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06016
- Practice address
- 217 E Monroe
Mt Pleasant, IA 52641 - Phone
- (319) 385-4680
- Fax
- (319) 385-4681
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06016 | IA | Primary |
Addresses
Primary practice location
217 E Monroe
Mt Pleasant, IA 52641
Mailing address
PO Box 177
Mt Pleasant, IA 52641
Phone (319) 385-4680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3097915 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06016 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Shroyer DDS, P.C. | Past | Accepting new patients | |
| Iris Dental PC | 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.
-
- Dental Clinic/Center
- Mt Pleasant, IA
- NPI 1053040964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285768804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 177",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "52641",
"telephone_number": "319-385-4680",
"fax_number": "319-385-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E MONROE",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "52641",
"telephone_number": "319-385-4680",
"fax_number": "319-385-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSS",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "06016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3097915",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, IA
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.