Individual provider Active NPI

Kayla Buchanan, D.D.S.

  • Dentist
  • Cross Lanes, WV
National Provider Identifier
1497075113
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3907 Issued in WV
Practice address
5480 Big Tyler Rd Ste 1
Cross Lanes, WV 25313-1195
Phone
(304) 776-4541
Fax
(304) 776-4542
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3907 WV Primary

Addresses

Primary practice location

5480 Big Tyler Rd Ste 1
Cross Lanes, WV 25313-1195

Mailing address

5480 Big Tyler Rd Ste 1
Cross Lanes, WV 25313-1195
Phone (304) 776-4541

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mitri a. Ghareeb, DDS, PC Dentist Past Accepting new patients
Ghareeb & Ghareeb DDS, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1497075113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD STE 1",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131195",
            "telephone_number": "304-776-4541",
            "fax_number": "304-776-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD STE 1",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131195",
            "telephone_number": "304-776-4541",
            "fax_number": "304-776-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.