Individual provider Active NPI

William S. Buck, D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1497768196
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16952 Issued in TX
Practice address
8615 S Hulen St Ste 113
Fort Worth, TX 76123-2762
Phone
(682) 207-6555
Fax
(806) 669-2641
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16952 TX Primary

Addresses

Primary practice location

8615 S Hulen St Ste 113
Fort Worth, TX 76123-2762

Mailing address

8615 S Hulen St Ste 113
Fort Worth, TX 76123-2762
Phone (682) 207-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529002236 TX Order and Referring Only - DentistPractitioner - Dentist 1850612052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16952TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WSB PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1497768196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 S HULEN ST STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232762",
            "telephone_number": "682-207-6555",
            "fax_number": "817-717-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 S HULEN ST STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232762",
            "telephone_number": "682-207-6555",
            "fax_number": "806-669-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "WILLIAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.