Mat-Su Neurology, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

992389 Issued in AK

Legal business name

MAT-SU NEUROLOGY, LLC

Practice address

950 E Bogard Rd
Suite 213
Wasilla, AK 99654-7184

Phone

(734) 657-3942

NPI assigned

Aug 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Dwight Buckland, D.O.

Title

Member

Phone

(734) 657-3942

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375488000000",
    "number": "1578995304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE 213",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE 213",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "734-657-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A",
        "authorized_official_last_name": "BUCKLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-657-3942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "992389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat-Su Dental Center, Inc.
• Mat-Su Integrative Medicine
• Mat-Su Medical Laboratory, LLC.
• Mat-Su Mental Health LLC
• Mat-Su Midwifery Inc
• Mat-Su Pediatric Physical Therapy LLC
• Mat-Su Services for Children & Adults
• Mat-Su Services for Children & Adults
• Mat-Su Services for Children & Adults
• Mat-Su Services for Children & Adults

• Health Service Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Health Service Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.