Individual provider Active NPI

Richard Allen Buck, D.M.D.

  • General Practice Dentistry
  • Walla Walla, WA
National Provider Identifier
1316922164
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61545909 Issued in WA
Practice address
217 S 2ND Ave
Walla Walla, WA 99362-3002
Phone
(509) 525-7250
NPI assigned
Dec 14, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 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

LicenseStateTypeSpecialty
7575KYMDGeneral Practice Dentistry
DE61545909WAMDGeneral Practice Dentistry
11779981UTMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.