Active NPI
Minoo M Buchanan, DMD MS
- Pediatric Dentistry
- Delmar, NY
National Provider Identifier
1780898031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 038261
- Practice address
- 229 Delaware Ave
Delmar, NY 12054 - Phone
- (518) 439-6399
- NPI assigned
- May 9, 2007
- Last updated
- Oct 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 038261 | NY | Primary |
Addresses
Primary practice location
229 Delaware Ave
Delmar, NY 12054
Mailing address
229 Delaware Ave
Delmar, NY 12054
Phone (518) 439-6399
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038261 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1780898031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "12054",
"telephone_number": "518-439-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "12054",
"telephone_number": "518-439-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "MINOO",
"middle_name": "M",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "038261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.