NPIMap

Organization Active NPI

Daciana Buse DDS, MSD, PLLC

Doing business as NW Family Dental

  • General Practice Dentistry
  • Redmond, WA
National Provider Identifier
1396290094
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010705 Issued in WA
Legal business name
DACIANA BUSE DDS, MSD, PLLC
Doing business as
NW Family Dental
Practice address
15955 NE 85TH St Ste 101
Redmond, WA 98052-3550
Phone
(425) 883-2933
Fax
(425) 885-0146
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Tate Todorovic
Title
Office Manager
Phone
(425) 883-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010705 WA Primary

Addresses

Primary practice location

15955 NE 85TH St Ste 101
Redmond, WA 98052-3550

Mailing address

15955 NE 85TH St Ste 101
Redmond, WA 98052-3550
Phone (425) 883-2933

Other identifiers 2

IdentifierTypeStateIssuer
1285718700OtherWANPI
1578795704OtherWANPI

Other names 1

  • NW Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1396290094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-883-2933",
            "fax_number": "425-885-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-883-2933",
            "fax_number": "425-885-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACIANA BUSE DDS, MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "TODOROVIC",
        "authorized_official_first_name": "TATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-883-2933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285718700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578795704",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.