Tessa L. Buchanan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18457 Issued in MI

Legal business name

TESSA L. BUCHANAN DDS PC

Practice address

4915 Jefferson Ave
Midland, MI 48640-2905

Phone

(989) 631-8913

Fax

(989) 631-0521

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Tessa Buchanan

Title

Owner

Phone

(989) 631-8913

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1386944015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402905",
            "telephone_number": "989-631-8913",
            "fax_number": "989-631-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402905",
            "telephone_number": "989-631-8913",
            "fax_number": "989-631-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA L. BUCHANAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-631-8913"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.