Individual provider Active NPI

George Rihl Buckley, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1801012125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13723 Issued in TX
Practice address
4110 Bellaire Blvd
Suite 218
Houston, TX 77025-1007
Phone
(713) 669-0084
Fax
(713) 666-2344
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13723 TX Primary

Addresses

Primary practice location

4110 Bellaire Blvd
Suite 218
Houston, TX 77025-1007

Mailing address

4110 Bellaire Blvd
Suite 218
Houston, TX 77025-1007
Phone (713) 669-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160310000411 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799081139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13723TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801012125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BELLAIRE BLVD",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251007",
            "telephone_number": "713-669-0084",
            "fax_number": "713-666-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BELLAIRE BLVD",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251007",
            "telephone_number": "713-669-0084",
            "fax_number": "713-666-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "GEORGE",
        "middle_name": "RIHL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.