Individual provider Active NPI

Breanna Buchman, DMD

  • Prosthodontics
  • Greeley, CO
National Provider Identifier
1760123566
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN.00206547 Issued in CO
Practice address
3400 W 16TH St Ste E
Greeley, CO 80634-6870
Phone
(970) 673-7900
NPI assigned
Apr 5, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DEN.00206547 CO Primary

Addresses

Primary practice location

3400 W 16TH St Ste E
Greeley, CO 80634-6870

Mailing address

1514 Two Mile Rd
Cedar Bluffs, NE 68015-3212

Other practice location 1

7400 E Crestline Cir Ste 235
Greenwood Village, CO 80111-3656
Phone (720) 488-7677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240714000037 MN Order and Referring Only - DentistPractitioner - Dentist 5991240939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00206547COMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dental and Specialists of Greeley Prosthodontics PastSince Aug 25, 2024 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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1760123566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 TWO MILE RD",
            "city": "CEDAR BLUFFS",
            "state": "NE",
            "postal_code": "680153212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE E",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346870",
            "telephone_number": "970-673-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 E Crestline Cir Ste 235",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801113656",
            "country_code": "US",
            "telephone_number": "720-488-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHMAN",
        "first_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN.00206547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.