Active NPI
John Joseph Buyer II, DDS, MPH, MS, MSS
- Periodontics
- Christiansburg, VA
National Provider Identifier
1821008442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6718
- Practice address
- 100 Arbor Dr Ste 105
Christiansburg, VA 24073-6585 - Phone
- (540) 381-0475
- Fax
- (540) 381-6090
- NPI assigned
- Aug 8, 2006
- Last updated
- Sep 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 8653 | NC | |
| Periodontics | 1223P0300X | 6718 | VA | Primary |
Addresses
Primary practice location
100 Arbor Dr Ste 105
Christiansburg, VA 24073-6585
Mailing address
100 Arbor Dr Ste 105
Christiansburg, VA 24073-6585
Phone (540) 381-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141217002624 | VA | Order and Referring Only - Dentist | 1254654585 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6718 | VA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1821008442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ARBOR DR STE 105",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736585",
"telephone_number": "540-381-0475",
"fax_number": "540-381-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARBOR DR STE 105",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736585",
"telephone_number": "540-381-0475",
"fax_number": "540-381-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUYER",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS, MPH, MS, MSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "8653",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "6718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.