Individual provider Active NPI

Carl Buchanon II, DDS, MPH

  • Pediatric Dentistry
  • San Francisco, CA
National Provider Identifier
1457920811
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
000000000000 Issued in CA
Practice address
707 Parnassus Ave
San Francisco, CA 94143-2210
Phone
(415) 476-3276
Fax
(415) 514-2561
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 000000000000 CA Primary

Addresses

Primary practice location

707 Parnassus Ave
San Francisco, CA 94143-2210

Mailing address

570 21St St Apt 511
Oakland, CA 94612-2094
Phone (574) 514-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212000640 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3678949435 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000000000000CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Nov 23, 2022 Accepting new patients
University of California San Francisco CurrentSince Nov 23, 2022 Accepting new patients
UCSF Oral Medicine Clinic CurrentSince Nov 23, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 23, 2022 Accepting new patients
University of California San Francisco CurrentSince Nov 23, 2022 Accepting new patients
UCSF Oral & Maxillofacial Surgery CurrentSince Nov 23, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

707 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-3028

707 Parnassus Ave
Fl 1
San Francisco, CA 94143

Interoperability endpoints

  • Direct secure messaging: cbuchanon115166@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1457920811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 21ST ST APT 511",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122094",
            "telephone_number": "574-514-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3276",
            "fax_number": "415-514-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANON",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.