Nicole H. Buell, D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53970 Issued in CA

Legal business name

NICOLE H. BUELL, D.D.S. INC.

Practice address

3461 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-8967

Phone

(530) 544-1050

NPI assigned

Aug 15, 2013

Last updated

Aug 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Helena Buell, D.D.S.

Title

Owner

Phone

(530) 544-1050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Helen Gordon, DDS

  • General Practice Dentistry
  • Stateline, NV
  • NPI 1790858850
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1578996385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508967",
            "telephone_number": "530-544-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508967",
            "telephone_number": "530-544-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE H. BUELL, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-544-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Seleine Neumann, LCSW
• Nancy NG, PHYSICAL THERAPIST
• Anh T Ngo, RPH
• Lam Nhat Nguyen, DDS
• Shane David Nibley
• Nicole M Jane, DDS, Ms, PC
• Stepanie Ann Niederman, L.AC., DIPL. OF ACUP
• Elisabeth Nigrini, MD
• Peter Nocka
• Meagan Nordstrom, MD

• Dental Clinic/Center in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.