Stephen H Buchwalder

Primary specialty

DentistTaxonomy code 122300000X

License

18616 Issued in OH

Practice address

1950 S Smithville Rd
Kettering, OH 45420-1446

Phone

(937) 253-9115

Fax

(937) 253-3976

NPI assigned

Jun 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Michael C Dahm

  dba van buren dental

  • General Practice Dentistry
  • Kettering, OH
  • NPI 1750591715
  NPD (past)
• Van Buren Dental

  • Public Health Dentistry
  • Kettering, OH
  • NPI 1215641535
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578766622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 GRINNELL DR",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453879795",
            "telephone_number": "937-767-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201446",
            "telephone_number": "937-253-9115",
            "fax_number": "937-253-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHWALDER",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence G Brun, DDS
• Nathan B Brush, CRNA
• Alyssa D Bryan
• Bobbie Lynn Bryant, LPN
• Jessica A Buchanan, MS-CCC
• Buckeye Dental and Denture, Inc.
• Subbaraju Budharaju, M.B.B.S.
• Bizimana Budugure
• Kristin Bull-Freeman, LPC
• Martin Burbank, M.D.

• Dentist in Kettering, OH
• Providers in Kettering, OH by specialty
• Dentist in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.