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

Last updated

Feb 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Anne Buckner, DMDNPI 1316080385

Title

Owner

Phone

(606) 738-5545

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Anne Buckner, D.M.D.

  • General Practice Dentistry
  • Sandy Hook, KY
  • NPI 1316080385
  NPD Authorized official

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

{
    "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": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sandy Hook, KY
• Providers in Sandy Hook, KY by specialty
• 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.