Active NPI
Richard Allen Buck, D.M.D.
- General Practice Dentistry
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61545909
- Practice address
- 217 S 2ND Ave
Walla Walla, WA 99362-3002 - Phone
- (509) 525-7250
- NPI assigned
- Dec 14, 2005
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7575 | KY | |
| General Practice Dentistry | 1223G0001X | DE61545909 | WA | Primary |
| Orofacial Pain Dentistry | 1223X2210X | 11779981 | UT |
Addresses
Primary practice location
217 S 2ND Ave
Walla Walla, WA 99362-3002
Mailing address
217 S 2ND Ave
Walla Walla, WA 99362-3002
Phone (509) 525-7250
Other practice location 1
3590 Harrison Blvd Ste 2
Ogden, UT 84403-2023
Phone (801) 779-0506
Other practice location 2
375 N Main St
Ste 203
Kaysville, UT 84037-1278
Phone (757) 849-8941
Other practice location 3
18th Dental Squadron
Unit 5270
Apo, AP 96368-5270
UM
Phone (098) 630-4054
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 |
|---|---|---|---|
| 7575 | KY | MD | General Practice Dentistry |
| DE61545909 | WA | MD | General Practice Dentistry |
| 11779981 | UT | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rab DMD LLC | Current | Accepting new patients | |
| Sunrise Sleep and TMJ Solutions LLC | Current | Accepting new patients |
Locations
1729 Sidewinder Dr
Ste 102
Park City, UT 84060
Phone (435) 649-9429
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Ogden, UT
- NPI 1306571419
-
- Durable Medical Equipment & Medical Supplies
- Kaysville, UT
- NPI 1669077335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1316922164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623002",
"telephone_number": "509-525-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623002",
"telephone_number": "509-525-7250"
}
],
"practiceLocations": [
{
"address_1": "3590 Harrison Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844032023",
"country_code": "US",
"telephone_number": "801-779-0506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 N Main St",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "Kaysville",
"state": "UT",
"postal_code": "840371278",
"country_code": "US",
"telephone_number": "757-849-8941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18th Dental Squadron",
"address_2": "Unit 5270",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "963685270",
"country_code": "UM",
"telephone_number": "098-630-4054",
"country_name": "United States Minor Outlying Islands",
"address_type": "FGN"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7575",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61545909",
"primary": true
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "UT",
"license": "11779981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.