Active NPI
Aaron Edgar Buyack, DMD
- Pediatric Dentistry
- Mesa, AZ
National Provider Identifier
1689012809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D008729
- Practice address
- 9101 E Brown Rd Ste 102
Mesa, AZ 85207-4351 - Phone
- (480) 565-8555
- NPI assigned
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D008729 | AZ | |
| Pediatric Dentistry | 1223P0221X | D008729 | AZ | Primary |
Addresses
Primary practice location
9101 E Brown Rd Ste 102
Mesa, AZ 85207-4351
Mailing address
1949 E Indigo CT
Gilbert, AZ 85298-3227
Phone (480) 620-9277
Other practice location 1
3011 S Lindsay Rd Ste 108
Gilbert, AZ 85295-4333
Phone (480) 620-9277
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 |
|---|---|---|---|
| D008729 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron E. Buyack, D.M.D., PLLC | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Pittsfield, MA
- NPI 1306554662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689012809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 E INDIGO CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852983227",
"telephone_number": "480-620-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852074351",
"telephone_number": "480-565-8555"
}
],
"practiceLocations": [
{
"address_1": "3011 S Lindsay Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852954333",
"country_code": "US",
"telephone_number": "480-620-9277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUYACK",
"first_name": "AARON",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D008729",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D008729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.