Individual provider Active NPI

Jessica Saurino Buehler, D.D.S.

  • General Practice Dentistry
  • Mill Creek, WA
National Provider Identifier
1326297383
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DR60024862 Issued in WA
Practice address
15421 Main Street, Suite 101
Dr. Jessica Buehler C/O Gentle Dental Mill Creek
Mill Creek, WA 98012
Phone
(425) 316-8095
Fax
(425) 316-9210
NPI assigned
Sep 15, 2008
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DR60024862 WA Primary

Addresses

Primary practice location

15421 Main Street, Suite 101
Dr. Jessica Buehler C/O Gentle Dental Mill Creek
Mill Creek, WA 98012

Mailing address

15421 Main Street, Suite 101
Dr. Jessica Buehler C/O Gentle Dental Mill Creek
Mill Creek, WA 98012
Phone (425) 316-8095

Other names 1

  • Jessica Lynn Saurino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151207000482 WA Order and Referring Only - DentistPractitioner - Dentist 8022318500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DR60024862WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1326297383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 MAIN STREET, SUITE 101",
            "address_2": "DR. JESSICA BUEHLER C/O GENTLE DENTAL MILL CREEK",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-316-8095",
            "fax_number": "425-316-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 MAIN STREET, SUITE 101",
            "address_2": "DR. JESSICA BUEHLER C/O GENTLE DENTAL MILL CREEK",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-316-8095",
            "fax_number": "425-316-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHLER",
        "first_name": "JESSICA",
        "middle_name": "SAURINO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DR60024862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SAURINO",
            "middle_name": "LYNN",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.