Walter Berge Busse, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Practice address

536 E 162ND Street
South Holland, IL 60473

Phone

(708) 331-2322

Fax

(708) 596-3128

NPI assigned

Sep 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Walter B Busse &Associates LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Holland, IL
  • NPI 1154578698
  Authorized official Same address or phone
• Oral and Maxillofacial Surgery Associates, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1497808588
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386748663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E 162ND STREET",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "60473",
            "telephone_number": "708-331-2322",
            "fax_number": "708-596-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E 162ND STREET",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "60473",
            "telephone_number": "708-331-2322",
            "fax_number": "708-596-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "WALTER",
        "middle_name": "BERGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bryant, COTA
• Peyton Cecilia Burke
• Zanee' Burnett
• Janice Elaine Burnom, MA
• Lynetta F Busen, LCSW
• Kristen Butler
• Karen Lynn Cagle, SLP
• Cal's Medical Enterprises, Service Corporation
• Mary A Camper, DD, PHD, LCSW, CADC
• Caring Shepherds Health Care Inc

• Oral and Maxillofacial Surgery (Dentist) in South Holland, IL
• Providers in South Holland, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.