Samuel Buchanan

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2022006397 Issued in MO

Practice address

1516 E 23Rd St S Ste C
Independence, MO 64055-1601

Phone

(816) 254-2700

NPI assigned

Aug 31, 2022

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avalon Hearing LLC

  • Hearing Instrument Specialist
  • Bella Vista, AR
  • NPI 1366282121
  NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1912627837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E 23RD ST S STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551601",
            "telephone_number": "816-254-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E 23RD ST S STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551601",
            "telephone_number": "816-254-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641141635",
            "country_code": "US",
            "telephone_number": "913-262-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2022006397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Noel Bruce, REGISTERED NURSE
• Danielle Brunetti
• Aubree A Bryan, LMSW
• David Keith Bryant
• Kaitlyn Bryant, OTR/L
• Joni Buckridge, COTA/L
• Rachelle Buescher, CPNP
• Long Bui, DO
• Building on Dreams
• Tristina Bukovac

• Hearing Instrument Specialist in Independence, MO
• Providers in Independence, MO by specialty
• Hearing Instrument Specialist in Missouri

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

Verify at the official NPI Registry.