Spencer Buchert, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13722 Issued in MN

Practice address

220 SE 21St St
Grand Rapids, MN 55744-4268

Phone

(218) 326-3438

NPI assigned

Aug 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Northwoods Dentistry PLLC

  • General Practice Dentistry
  • Grand Rapids, MN
  • NPI 1730792334
  NPD Authorized official
• Grand Rapids Dental Care LLC

  • Dental Clinic/Center
  • Grand Rapids, MN
  • NPI 1659906204
  NPD

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1770036287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SE 21ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444268",
            "telephone_number": "218-326-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SE 21ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444268",
            "telephone_number": "218-326-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 8th Ave E",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557461707",
            "country_code": "US",
            "telephone_number": "218-263-8348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Fairchild AFB",
            "state": "WA",
            "postal_code": "990118704",
            "country_code": "US",
            "telephone_number": "509-247-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHERT",
        "first_name": "SPENCER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel William Brody, DO
• Brookstone Manor, Inc.
• Jessica Dundore Brown, M.S. CCC-SLP
• Sara Michelle Brubaker, CHW, LPN
• Rachel Buchert, D.D.S.
• Corine R Buechner, FNP-C
• April L Buescher, APRN,CNP
• Sharon Elizabeth Buesing, APRN, FNP
• Andrea Mae Bulson, D.C.
• Dana Butler, LMFT

• Dentist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.