Active NPI
Kenneth N Buchi, MD
- Gastroenterology Physician
- West Jordan, UT
National Provider Identifier
1518985696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 791639761205
- Practice address
- 3584 W 9000 S Ste 300
West Jordan, UT 84088-5711 - Phone
- (801) 233-8233
- Fax
- (801) 565-3663
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 791639761205 | UT | Primary |
Addresses
Primary practice location
3584 W 9000 S Ste 300
West Jordan, UT 84088-5711
Mailing address
3584 W 9000 S Ste 300
West Jordan, UT 84088-5711
Phone (801) 233-8233
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791639761205 | UT | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1518985696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 W 9000 S STE 300",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885711",
"telephone_number": "801-233-8233",
"fax_number": "801-565-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 W 9000 S STE 300",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885711",
"telephone_number": "801-233-8233",
"fax_number": "801-565-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHI",
"first_name": "KENNETH",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "791639761205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.