Individual provider Active NPI

David Michael Buhrley, DMD

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1659412005
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5805 Issued in AZ
Practice address
4425 S Mountain Rd Ste 106
Mesa, AZ 85212-7132
Phone
(480) 292-8429
Fax
(480) 535-5540
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5805 AZ Primary

Addresses

Primary practice location

4425 S Mountain Rd Ste 106
Mesa, AZ 85212-7132

Mailing address

4680 S. San Jacinto St.
Gilbert, AZ 85297
Phone (480) 988-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526000433 AZ Order and Referring Only - DentistPractitioner - Dentist 1759671183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Via Dental, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Dental One, Inc. General Practice Past Accepting new patients

Locations

4425 S Mountain Rd
Ste 106
Mesa, AZ 85212
Phone (480) 292-8429

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1659412005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 S. SAN JACINTO ST.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-988-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S MOUNTAIN RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127132",
            "telephone_number": "480-292-8429",
            "fax_number": "480-535-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHRLEY",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.