NPIMap

Organization Active NPI

W. Charles Buchsieb II, DDS, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, OH
National Provider Identifier
1376761130
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17709 Issued in OH
Legal business name
W. CHARLES BUCHSIEB II, DDS, INC.
Practice address
2184 W 4TH St
Mansfield, OH 44906-1203
Phone
(419) 747-3600
Fax
(419) 747-3605
NPI assigned
Apr 24, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Walter Charles Buchsieb II, DDS
Title
Orthodontists
Phone
(419) 747-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 17709 OH Primary

Addresses

Primary practice location

2184 W 4TH St
Mansfield, OH 44906-1203

Mailing address

2184 W 4TH St
Mansfield, OH 44906-1203
Phone (419) 747-3600

National Provider Directory

National Provider Directory
Tax ID family
W Charles Buchsieb II DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2184 W 4th St
Ontario, OH 44906
Phone (419) 747-3600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1376761130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061203",
            "telephone_number": "419-747-3600",
            "fax_number": "419-747-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061203",
            "telephone_number": "419-747-3600",
            "fax_number": "419-747-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. CHARLES BUCHSIEB II, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BUCHSIEB II",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ORTHODONTISTS",
        "authorized_official_telephone_number": "419-747-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "17709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.