Active NPI
William Michael Buettner, DDS
- General Practice Dentistry
- Lima, OH
National Provider Identifier
1841938487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026856
- Practice address
- 3390 W Elm St
Lima, OH 45807-2223 - Phone
- (419) 222-1726
- Fax
- (419) 222-7122
- NPI assigned
- May 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.026856 | OH | Primary |
Addresses
Primary practice location
3390 W Elm St
Lima, OH 45807-2223
Mailing address
426 E 9TH St
Delphos, OH 45833-1219
Phone (419) 296-8249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026856 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1841938487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 E 9TH ST",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458331219",
"telephone_number": "419-296-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 W ELM ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458072223",
"telephone_number": "419-222-1726",
"fax_number": "419-222-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUETTNER",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.