Kathleen Flanagan Buchbinder, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02965901 Issued in NJ

Practice address

777 Raritan Rd
Clark, NJ 07066-2206

Phone

(732) 815-1977

NPI assigned

May 23, 2023

Last updated

Oct 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adult & Pediatric Dental Studio, PC

  • Dental Clinic/Center
  • Manalapan, NJ
  • NPI 1265641385
  NPD (past)
• Mary Flanagan LLC

  dba Pediatric Dentistry

  • Pediatric Dentistry
  • Clark, NJ
  • NPI 1689077158
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1558053058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662206",
            "telephone_number": "732-815-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662206",
            "telephone_number": "732-815-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077261729",
            "country_code": "US",
            "telephone_number": "732-972-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHBINDER",
        "first_name": "KATHLEEN",
        "middle_name": "FLANAGAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02965901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Brown
• Jolan T Browne, DPT
• Janet Brun, RDN CDCES
• Michelle Bublick, R.PH.
• Kira Ann Buchanan, MA,LAC,NCC
• William Buchbinder, DMD, MDS
• Inga Bufano, PA-C
• Alexander Bull, PA-C
• Henry Joseph Buncek
• Courtney Joan Buzzell, PT, DPT, OCS

• Dentist in Clark, NJ
• Providers in Clark, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.