Individual provider Active NPI

Charles Mark Buxton, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hillsboro, OR
National Provider Identifier
1639155278
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D7970 Issued in OR
Practice address
5625 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6422
Phone
(503) 924-2248
Fax
(503) 924-2241
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D7970 OR Primary

Addresses

Primary practice location

5625 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6422

Mailing address

5625 NE Elam Young Pkwy
Suite 300
Hillsboro, OR 97124-6422
Phone (503) 924-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D7970ORMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibe Orthodontics LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Orenco Orthodontics LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1639155278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 NE ELAM YOUNG PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246422",
            "telephone_number": "503-924-2248",
            "fax_number": "503-924-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 NE ELAM YOUNG PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246422",
            "telephone_number": "503-924-2248",
            "fax_number": "503-924-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXTON",
        "first_name": "CHARLES",
        "middle_name": "MARK",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.