NPIMap

Organization Active NPI

Michael D Buck DDS, PC

  • Dentist
  • Creston, IA
National Provider Identifier
1629469655
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08863 Issued in IA
Legal business name
MICHAEL D BUCK DDS, PC
Practice address
803 N Sumner Ave
Suite a
Creston, IA 50801-1350
Phone
(641) 782-4747
Fax
(641) 782-8004
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Michael D Buck, DDSNPI 1891080917
Title
President
Phone
(641) 782-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 08863 IA Primary

Addresses

Primary practice location

803 N Sumner Ave
Suite a
Creston, IA 50801-1350

Mailing address

803 N Sumner Ave
Suite a
Creston, IA 50801-1350
Phone (641) 782-4747

National Provider Directory

National Provider Directory

Locations

803 N Sumner Ave
Ste A
Creston, IA 50801
Phone (641) 782-2817

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1629469655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N SUMNER AVE",
            "address_2": "SUITE A",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011350",
            "telephone_number": "641-782-4747",
            "fax_number": "641-782-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N SUMNER AVE",
            "address_2": "SUITE A",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011350",
            "telephone_number": "641-782-4747",
            "fax_number": "641-782-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D BUCK DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-782-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "08863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.