Buckeye Modern Dentistry, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BUCKEYE MODERN DENTISTRY, LLP

Doing business as

Buckeye Modern Dentistry

Practice address

946 S Watson Rd Ste 101
Buckeye, AZ 85326-3430

Phone

(623) 267-4676

Fax

(623) 505-1128

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Parker, DDS

Title

Owner

Phone

(623) 267-4676

Specialties & licenses 1

Addresses

Other names 1

• Buckeye Modern Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex S Barkdull

  • Dentist
  • Buckeye, AZ
  • NPI 1467327072
  NPD
• Manpreet Kaur, DMD

  • Dentist
  • Buckeye, AZ
  • NPI 1205514809
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1790443455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 S WATSON RD STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263430",
            "telephone_number": "623-267-4676",
            "fax_number": "623-505-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-267-4676",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Buckeye Dental Implants & Oral Surgery
• Buckeye Elementary School District
• Buckeye Family Chiropractic
• Buckeye Healing Arts
• Buckeye Imaging Center
• Buckeye Pediatric Partners and Orthodontics (Every Kid's Dentist and Orthodontics)
• Buckeye Pediatrics, LLC
• Buckeye South LLC (Buckeye Surgery Center)
• Buckeye Union High School District
• Buckeye Valley Rural Volunteer Fire District

• Dentist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.