Organization Active NPI

Jared T Buck DDS LTD

  • Endodontics
  • Carson City, NV
National Provider Identifier
1790003853
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
S7-70C Issued in NV
Legal business name
JARED T BUCK DDS LTD
Practice address
1177 N Division St
Carson City, NV 89703-3874
Phone
(775) 883-3434
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Jared Thomas Buck, DDS
Title
President
Phone
(775) 883-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X S7-70C NV Primary

Addresses

Primary practice location

1177 N Division St
Carson City, NV 89703-3874

Mailing address

1177 N Division St
Carson City, NV 89703-3874
Phone (775) 883-3434

National Provider Directory

National Provider Directory

Locations

1177 N Division St
Carson City, NV 89703
Phone (775) 883-3434

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1790003853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033874",
            "telephone_number": "775-883-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033874",
            "telephone_number": "775-883-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED T BUCK DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-883-3434",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-70C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.