Active NPI
Christopher Daniel Buczek, D.M.D.
- General Practice Dentistry
- Birmingham, AL
National Provider Identifier
1760646905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D. 0005629
- Practice address
- 202 Inverness Center Dr
Birmingham, AL 35242-7633 - Phone
- (205) 991-8939
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D. 0005629 | AL | Primary |
Addresses
Primary practice location
202 Inverness Center Dr
Birmingham, AL 35242-7633
Mailing address
4042 Forest Lakes Rd
Sterrett, AL 35147-8164
Phone (205) 678-3426
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D. 0005629 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1760646905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4042 FOREST LAKES RD",
"city": "STERRETT",
"state": "AL",
"postal_code": "351478164",
"telephone_number": "205-678-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 INVERNESS CENTER DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352427633",
"telephone_number": "205-991-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCZEK",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D. 0005629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.