Active NPI
Dennis J Buono DO Inc
- Family Medicine Physician
- Port Clinton, OH
National Provider Identifier
1902046782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34008701
- Legal business name
- DENNIS J BUONO DO INC
- Practice address
- 2621 E Harbor Rd
Port Clinton, OH 43452-2607 - Phone
- (419) 732-9975
- Fax
- (419) 732-6415
- NPI assigned
- Mar 6, 2009
- Last updated
- Mar 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis J Buono
- Title
- President
- Phone
- (419) 732-9975
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008701 | OH | Primary |
Addresses
Primary practice location
2621 E Harbor Rd
Port Clinton, OH 43452-2607
Mailing address
2621 E Harbor Rd
Port Clinton, OH 43452-2607
Phone (419) 732-9975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2634466 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Medicine Physician
- Port Clinton, OH
- NPI 1144209156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1902046782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 E HARBOR RD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522607",
"telephone_number": "419-732-9975",
"fax_number": "419-732-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 E HARBOR RD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522607",
"telephone_number": "419-732-9975",
"fax_number": "419-732-6415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS J BUONO DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A",
"authorized_official_last_name": "BUONO",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-732-9975",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2634466",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.