Active NPI
Alan J Bussell, DDS
- Dentist
- Tamarac, FL
National Provider Identifier
1487710612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0005539
- Practice address
- 6269 N University Dr
Tamarac, FL 33321-4022 - Phone
- (954) 721-2330
- NPI assigned
- Dec 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0005539 | FL | Primary |
Addresses
Primary practice location
6269 N University Dr
Tamarac, FL 33321-4022
Mailing address
6269 N University Dr
Tamarac, FL 33321-4022
Phone (954) 721-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005539 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friedman Dental Tamarac | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Tamarac, FL
- NPI 1568999209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487710612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6269 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214022",
"telephone_number": "954-721-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6269 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214022",
"telephone_number": "954-721-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSELL",
"first_name": "ALAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "0005539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.