Brock Kinsey Buzbee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2021019648 Issued in MO

Practice address

2104 W Chesterfield Blvd
Springfield, MO 65807-8650

Phone

(417) 888-0771

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1881261212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 W CHESTERFIELD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 W CHESTERFIELD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-888-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZBEE",
        "first_name": "BROCK",
        "middle_name": "KINSEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021019648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Abraham Butler
• Marium Butt, M.D.
• Grace Butterfield
• Keith Butvilas, DO
• Buzbee Dental Clinic, Inc
• Gary L. Buzbee, DDS
• Roger D. Buzbee, DDS
• Todd K. Buzbee, DDS
• Tyler G. Buzbee, DDS
• Thomas W. Byers, OD

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.