Bunch-Payne, Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY

Practice address

756 Porter Ave
Suite 400
Stockton, CA 95207-4232

Phone

(209) 951-6387

Fax

(209) 951-2824

NPI assigned

Feb 15, 2007

Organization subpart

Yes

Parent organization

BUNCH-PAYNE ORAL AND MAXILLOFACIAL SURGERYAs reported in NPPES

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

Authorized official

Name

Dr. Fred L Bunch, D.D.S.

Title

Partner

Phone

(209) 951-6387

Specialties & licenses 1

Addresses

Other identifiers 5

Part of

Bunch-Payne Oral and Maxillofacial Surgery

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Lyle Bunch, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1912910589
  NPD (past)
• Jeffrey Christopher Payne, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1649213174
  NPD (past)
• Miraj Kishor Sanghvi, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1346403169
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1699818872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387",
            "fax_number": "209-951-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387",
            "fax_number": "209-951-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUNCH-PAYNE ORAL AND MAXILLOFACIAL SURGERY",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-951-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL DR PAYNE",
            "identifier": "D46419",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL DR BUNCH",
            "identifier": "D21974",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN - FRED BUNCH DDS",
            "identifier": "DK858Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN - JEFFREY PAYNE DDS",
            "identifier": "DK863Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN - BUNCH-PAYNE OMS",
            "identifier": "DK845A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usama Bukhari
• Zabina Bano Buksh
• Dushondah Turiesha Bullard
• Kalea Bulmer
• Anthony Castillo Bunales
• Frederick Lyle Bunch, D.D.S., M.S.
• Bunnaun Uch (Angkor Pharmacy)
• Bunnaun Uch (Angkor Pharmacy)
• Zackaria Araissi Bunnell
• Yvette Bunting

• Oral and Maxillofacial Surgery (Dentist) in Stockton, CA
• Providers in Stockton, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.