Individual provider Active NPI

Juliana Hathaway Buccino, DMD

  • Dentist
  • Fall River, MA
National Provider Identifier
1295410488
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859938 Issued in MA
Practice address
497 Robeson St
Fall River, MA 02720-5497
Phone
(508) 676-0111
Fax
(508) 678-6764
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859938 MA Primary

Addresses

Primary practice location

497 Robeson St
Fall River, MA 02720-5497

Mailing address

497 Robeson St
Fall River, MA 02720-5497
Phone (508) 676-0111

Other practice location 1

154 W Grove St
Middleboro, MA 02346-1484
Phone (508) 947-6477

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

LicenseStateTypeSpecialty
DN1859938MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Dental Care of Fall River, PC PastSince Aug 20, 2023 Accepting new patients

Organizations & group practices 1

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1295410488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205497",
            "telephone_number": "508-676-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205497",
            "telephone_number": "508-676-0111",
            "fax_number": "508-678-6764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 W Grove St",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461484",
            "country_code": "US",
            "telephone_number": "508-947-6477",
            "fax_number": "508-947-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCCINO",
        "first_name": "JULIANA",
        "middle_name": "HATHAWAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.