Individual provider Active NPI

Donald H Busby, DMD

  • General Practice Dentistry
  • Lafayette, AL
National Provider Identifier
1700070133
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3743 Issued in AL
Practice address
134 1St St SE
Lafayette, AL 36862-2304
Phone
(334) 864-8808
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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 3743 AL Primary

Addresses

Primary practice location

134 1St St SE
Lafayette, AL 36862-2304

Mailing address

134 1St St SE
Lafayette, AL 36862-2304
Phone (334) 864-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150702000598 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325350432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3743ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donald H Busby DMD PC General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1700070133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "DONALD",
        "middle_name": "H",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, AL

Sources for this page

Verify at the official NPI Registry.