Dennis Dewitt Buckmaster, M.S

Key facts

NPI

1497729404

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

50976 (OR)

Practice address

4909 S Coast Hwy
South Beach, OR 97366-9648

Phone

(541) 574-5960

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497729404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW MEANDER AVE",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651014",
            "telephone_number": "541-265-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 S COAST HWY",
            "city": "SOUTH BEACH",
            "state": "OR",
            "postal_code": "973669648",
            "telephone_number": "541-574-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMASTER",
        "first_name": "DENNIS",
        "middle_name": "DEWITT",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "50976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in South Beach, OR · Mental Health Counselor in Oregon