Organization Active NPI

James G Buffington

  • Dental Clinic/Center
  • West Memphis, AR
National Provider Identifier
1912291691
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1734 Issued in AR
Legal business name
JAMES G BUFFINGTON
Practice address
104 E Bond Ave
West Memphis, AR 72301-3108
Phone
(870) 735-8222
Fax
(870) 735-0190
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Jams G Buffington, DDS
Title
Dentist
Phone
(870) 735-8222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3141 AR
Dental Clinic/Center 261QD0000X 1734 AR Primary

Addresses

Primary practice location

104 E Bond Ave
West Memphis, AR 72301-3108

Mailing address

104 E Bond Ave
West Memphis, AR 72301-3108
Phone (870) 735-8222

Other identifiers 3

IdentifierTypeStateIssuer
58133OtherARBCBS
158090608OtherBCBS 5T067
101915608MedicaidAR

National Provider Directory

National Provider Directory

Locations

104 E Bond Ave
West Memphis, AR 72301
Phone (870) 735-8222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1912291691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013108",
            "telephone_number": "870-735-8222",
            "fax_number": "870-735-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013108",
            "telephone_number": "870-735-8222",
            "fax_number": "870-735-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G BUFFINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "JAMS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-735-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3141",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58133",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  5T067",
            "identifier": "158090608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101915608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.