David Michael Buksar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009906 Issued in IN

Practice address

3745 South Madison St
Muncie, IN 47302

Phone

(765) 896-9857

Fax

(765) 352-0254

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Southway Family Dentistry

  • General Practice Dentistry
  • Muncie, IN
  • NPI 1902154248
  NPD (past) Authorized official

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1649252891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E MORGAN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511743",
            "telephone_number": "765-352-0250",
            "fax_number": "765-352-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 SOUTH MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47302",
            "telephone_number": "765-896-9857",
            "fax_number": "765-352-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSAR",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009906A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200233800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Buche, NP
• Holly Marie Buckler, FNP-C
• Cameron Bryan Buckner
• Hannah Nicole Bugby, NP
• Zarionna Buis, RBT
• Samuel Walter Bullen, RBT
• Dawn Bullock
• Haley Renee Bulmer
• Marketa Bumpus
• Jennifer R Bunch, MD

• General Practice Dentistry in Muncie, IN
• Providers in Muncie, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.