Active NPI
John E. Busby, DDS
- Dentist
- Madison, WI
National Provider Identifier
1497079180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5002053
- Practice address
- 5601 Odana Rd
Madison, WI 53719-1207 - Phone
- (608) 274-9077
- Fax
- (608) 274-9103
- NPI assigned
- Mar 24, 2010
- 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 | 5002053 | WI | Primary |
Addresses
Primary practice location
5601 Odana Rd
Madison, WI 53719-1207
Mailing address
5601 Odana Rd
Madison, WI 53719-1207
Phone (608) 274-9077
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 |
|---|---|---|---|
| 5002053 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Dentist SC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Madison, WI
- NPI 1477663045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1497079180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 ODANA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191207",
"telephone_number": "608-274-9077",
"fax_number": "608-274-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 ODANA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191207",
"telephone_number": "608-274-9077",
"fax_number": "608-274-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBY",
"first_name": "JOHN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5002053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.