Mitchell Jay Bukzin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401003817 Issued in VA

Practice address

4391 Ridgewood Center Dr
Suite C
Woodbridge, VA 22192-5399

Phone

(703) 590-4666

Fax

(703) 897-1526

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Karina Vera-Lopez DDS PLLC

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1275926065
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598899593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR",
            "address_2": "SUITE C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "703-590-4666",
            "fax_number": "703-897-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR",
            "address_2": "SUITE C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "703-590-4666",
            "fax_number": "703-897-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKZIN",
        "first_name": "MITCHELL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401003817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Buckman, NP
• Peggy J Budnik, CFNP
• Adrienne Marie Buggs, MD
• Nghi H Bui, M.D.
• Tamnhu Bui, PA-C
• Jamie Bullard, CERTIFICATIONS
• Kathleen Elizabeth Burch
• V Renee Burdett, MD
• Amy Wilson Burger
• Julia D Burgess, MSN, RN, ACNS-BC

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.