Kayla Shannon Buchanczenko, RDH, DDS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2901028719 Issued in MO

Practice address

30768 Lyon Center Dr E
New Hudson, MI 48165-8903

Phone

(248) 770-6042

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1487345492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27418 POND DR",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658536",
            "telephone_number": "734-262-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30768 LYON CENTER DR E",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658903",
            "telephone_number": "248-770-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANCZENKO",
        "first_name": "KAYLA",
        "middle_name": "SHANNON",
        "credential": "RDH, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2901028719",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901603210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Bato, LMSW
• Reanna D Bell, LLMSW
• Lisa Michelle Briggs, LMSW
• William Brooks, LVN
• Jamie Buchanczenko
• Kimberly Angela Burbank, LMT
• Elizabeth Burdick, MT-BC
• Barbara Burrows, L.M.T
• Jayla C Caver, LCSW
• CD Orthodontics PLLC

• Dental Hygienist in New Hudson, MI
• Providers in New Hudson, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.