Ryan Buechele, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9053253-9922 Issued in UT

Practice address

3001 Green Bay Rd
Uss Osborne BLDG 1017
North Chicago, IL 60064-3048

Phone

(847) 688-3530

NPI assigned

Sep 7, 2014

Sex

Male

Sole proprietor

Yes

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": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1912308123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 561 BOX 1877",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963100019",
            "telephone_number": "315-255-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "address_2": "USS OSBORNE BLDG 1017",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHELE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-07",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9053253-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Ife Brown, PHARMD
• Tammy Lynn Brown, APN
• Scott C Brun, MD
• Braden Brundage
• Heather Rae Bucher, LCSW
• Olga Bulakh, PHARMD
• Marie Bulfer
• Anna Burakovski, RN
• Tamara Brehm Burkhalter, RN
• Malcolm Burks

• General Practice Dentistry in North Chicago, IL
• Providers in North Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.