Active NPI
Margaret Mary Buckley, DMD
- General Practice Dentistry
- Lynn, MA
National Provider Identifier
1508876954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10696
- Practice address
- 205 Western Av
Lynn, MA 01904 - Phone
- (781) 598-1101
- Fax
- (781) 598-1101
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10696 | MA | Primary |
Addresses
Primary practice location
205 Western Av
Lynn, MA 01904
Mailing address
205 Western Av
Lynn, MA 01904
Phone (781) 598-1101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298832 | Medicaid | MA | |
| X05642 | Other | MA | BLUE CROSS BLUE SHIELD |
Other names 1
- Mrs. Margaret Mary Buckley-Kuc
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 |
|---|---|---|---|
| 10696 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508876954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WESTERN AV",
"city": "LYNN",
"state": "MA",
"postal_code": "01904",
"telephone_number": "781-598-1101",
"fax_number": "781-598-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WESTERN AV",
"city": "LYNN",
"state": "MA",
"postal_code": "01904",
"telephone_number": "781-598-1101",
"fax_number": "781-598-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "MARGARET",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "10696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298832",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X05642",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "BUCKLEY-KUC",
"middle_name": "MARY",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lynn, MA
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.