Dr. Kimberly a. Buckner, P.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. KIMBERLY A. BUCKNER, P.L.C.

Practice address

38 J F Green St
Sandy Hook, KY 41171-7134

Phone

(606) 738-5545

Fax

(606) 738-5405

NPI assigned

Feb 17, 2021

Organization subpart

No

Name

Dr. Kimberly Anne Buckner, DMDNPI 1316080385

Title

Owner

Phone

(606) 738-5545

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Anne Buckner, D.M.D.

  • General Practice Dentistry
  • Sandy Hook, KY
  • NPI 1316080385

  General Practice

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2021.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1376136705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710085",
            "telephone_number": "606-738-5545",
            "fax_number": "606-738-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 J F GREEN ST",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411717134",
            "telephone_number": "606-738-5545",
            "fax_number": "606-738-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIMBERLY A. BUCKNER, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-738-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sandy Hook, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.