Individual provider Active NPI

Dane C Buxbaum, N.D.

  • Naturopath
  • Chandler, AZ
National Provider Identifier
1730466749
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
11-1268 Issued in AZ
Practice address
1825 W Ray Rd Apt 2084
Chandler, AZ 85224-4088
Phone
(480) 648-0221
Fax
(480) 648-0201
NPI assigned
Nov 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 11-1268 AZ Primary

Addresses

Primary practice location

1825 W Ray Rd Apt 2084
Chandler, AZ 85224-4088

Mailing address

1825 W Ray Rd Apt 2084
Chandler, AZ 85224-4088
Phone (480) 648-0221

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

LicenseStateTypeSpecialty
11-1268AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1730466749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W RAY RD APT 2084",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244088",
            "telephone_number": "480-648-0221",
            "fax_number": "480-648-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W RAY RD APT 2084",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244088",
            "telephone_number": "480-648-0221",
            "fax_number": "480-648-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXBAUM",
        "first_name": "DANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "11-1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.