Ryan Michael Buddendeck, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12930 Issued in NC

Practice address

8815 Christenbury Pkwy Ste 40
Concord, NC 28027-0261

Phone

(704) 264-0253

NPI assigned

May 19, 2022

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alagic Franklin DMD PC

  • General Practice Dentistry
  • Concord, NC
  • NPI 1912698903
  NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1760129746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13717 REESE BLVD W APT 306",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786087",
            "telephone_number": "704-796-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 CHRISTENBURY PKWY STE 40",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270261",
            "telephone_number": "704-264-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDENDECK",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12930",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret F Buam
• Stephanie Buck, MSW
• Lisa M Buckley, RD, LDN
• Stacy Adams Buckley, FNP
• Carl Louis Buckner, MD
• Joelle Buitendorp
• Sean Michael Buitendorp, DPT
• Alicia Marie Bullock, LCSWA, LCASA
• Brittany Rae Bullock, PHARMD
• Selah R Bullock

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.