Individual provider Active NPI

Robert J. Buch, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, AZ
National Provider Identifier
1467567974
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D8077 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste H120
Glendale, AZ 85306-3726
Phone
(623) 792-5794
Fax
(623) 792-5809
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D8077 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste H120
Glendale, AZ 85306-3726

Mailing address

6677 W Thunderbird Rd Ste H120
Glendale, AZ 85306-3726
Phone (623) 792-5794

Other practice location 1

8573 E Princess Dr Ste 101
Scottsdale, AZ 85255-7826
Phone (480) 563-3960

Other identifiers 2

IdentifierTypeStateIssuer
179666OtherVAANTHEM PROVIDER NUMBER
010288479MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 17, 2015 through Nov 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8419NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1467567974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE H120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063726",
            "telephone_number": "623-792-5794",
            "fax_number": "623-792-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE H120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063726",
            "telephone_number": "623-792-5794",
            "fax_number": "623-792-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8573 E Princess Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557826",
            "country_code": "US",
            "telephone_number": "480-563-3960",
            "fax_number": "480-563-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCH",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D8077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "179666",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010288479",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.