Kendell Theron Buxton, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

00202193 Issued in CO

Practice address

1331 E Prospect Rd Unit B2
Fort Collins, CO 80525-1367

Phone

(970) 482-6333

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kendell T. Buxton, DDS, PLLC

  • Dentist
  • Fort Collins, CO
  • NPI 1093125940
  NPD (past) Authorized official

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1447415849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 UNDERWOOD CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254290",
            "telephone_number": "505-609-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E PROSPECT RD UNIT B2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251367",
            "telephone_number": "970-482-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXTON",
        "first_name": "KENDELL",
        "middle_name": "THERON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "NMDD3013",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023673",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Ann Butterfield
• Sheyna Button
• Buttry Clinic, LLC
• Brandon Edward Buttry, D.C.
• Jessica Buttry, DC
• Luke Byers, D.O.
• Hailey Byington
• Jamie Dee Michelle Byrd, RN
• Laurie Denise Byrne, P.T.
• Kate Byrnes

• Dentist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.