Active NPI
Amina R Bukhari, D.D.S
- General Practice Dentistry
- Greendale, WI
National Provider Identifier
1669885349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7250-15
- Practice address
- 5200 S 76TH St
Greendale, WI 53129-1116 - Phone
- (414) 423-1540
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7250-15 | WI | Primary |
Addresses
Primary practice location
5200 S 76TH St
Greendale, WI 53129-1116
Mailing address
5699 N Centerpark Way
Apt#439
Glendale, WI 53217-4568
Phone (734) 604-6630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7250-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1669885349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5699 N CENTERPARK WAY",
"address_2": "APT#439",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174568",
"telephone_number": "734-604-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 S 76TH ST",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291116",
"telephone_number": "414-423-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKHARI",
"first_name": "AMINA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "7250-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.