Buckeye Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30021521 Issued in OH

Legal business name

BUCKEYE PEDIATRIC DENTISTRY

Practice address

2000 Brice Rd
Reynoldsburg, OH 43068

Phone

(614) 575-2225

Fax

(614) 575-2252

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lucia C Gerstmann, D.D.S., M.S.

Title

Owner

Phone

(614) 575-2225

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1366728685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068",
            "telephone_number": "614-575-2225",
            "fax_number": "614-575-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068",
            "telephone_number": "614-575-2225",
            "fax_number": "614-575-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "GERSTMANN",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-575-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30021521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580336",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Brown
• Susan M Brown, RPH
• Yolanda Sharell Brown
• Cloteal Brumley, PTA
• Mary Bryant
• Buckeye Primary Care LLC
• Buckeye Wellness Consultants LLC
• Buckeyes Best LLC
• Annah Bui, PHARMD, RPH
• Vicki Bui

• Pediatric Dentistry in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.