Individual provider Active NPI

Manfred Franz Buechele, D.M.D.

  • Dentist
  • Clermont, FL
National Provider Identifier
1285894956
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN/8320 Issued in FL
Practice address
12344 Roper Blvd
Clermont, FL 34711-4300
Phone
(352) 242-1763
NPI assigned
Jun 16, 2008
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18320 FL
General Practice Dentistry 1223G0001X DN18320 FL
Dentist 122300000X DN/8320 FL Primary

Addresses

Primary practice location

12344 Roper Blvd
Clermont, FL 34711-4300

Mailing address

12344 Roper Blvd
Clermont, FL 34711-4300
Phone (352) 242-1763

Other practice location 1

1740 US Highway 27 Unit 28
Clermont, FL 34714-6214
Phone (352) 269-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160420001658 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789982984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18320FLMDMental Health Counselor
DN/8320FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Buechele Dental PA CurrentSince Feb 9, 2025 Accepting new patients
Mbco Dental PLLC General Practice CurrentSince Sep 23, 2024 Accepting new patients
Cosmet Enterprize LLC General Practice PastSince Mar 31, 2024 Accepting new patients

Locations

12344 Roper Blvd
Clermont, FL 34711
Phone (352) 242-1763

1740 US Highway 27
Unit 28
Clermont, FL 34714
Phone (352) 269-1400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1285894956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12344 ROPER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347114300",
            "telephone_number": "352-242-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12344 ROPER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347114300",
            "telephone_number": "352-242-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 US Highway 27 Unit 28",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347146214",
            "country_code": "US",
            "telephone_number": "352-269-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUECHELE",
        "first_name": "MANFRED",
        "middle_name": "FRANZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18320",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18320",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN/8320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.