Active NPI
Jamie Buchanczenko
- Dentist
- New Hudson, MI
National Provider Identifier
1548950686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901603207
- Practice address
- 27418 Pond Dr
New Hudson, MI 48165-8536 - Phone
- (734) 262-6037
- NPI assigned
- May 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | MI | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 2901603207 | MI | Primary |
Addresses
Primary practice location
27418 Pond Dr
New Hudson, MI 48165-8536
Mailing address
27418 Pond Dr
New Hudson, MI 48165-8536
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1548950686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27418 POND DR",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481658536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27418 POND DR",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481658536",
"telephone_number": "734-262-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANCZENKO",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901603207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.