Active NPI
Craig Jay Buning, DPT
- Physical Therapist
- Maplewood, MN
National Provider Identifier
1922434695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10487
- Practice address
- 2515 White Bear Ave N
Suite A11
Maplewood, MN 55109-5155 - Phone
- (651) 229-5466
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60416104 | WA | |
| Physical Therapist | 225100000X | 10487 | MN | Primary |
Addresses
Primary practice location
2515 White Bear Ave N
Suite A11
Maplewood, MN 55109-5155
Mailing address
359 E Park St
PO Box 22
Falmouth, MI 49632-5102
Phone (231) 878-6363
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318779 | Other | WA | L & I |
| 0318815 | Other | WA | L & I |
| 0318818 | Other | WA | L & I |
| 0318810 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1922434695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 E PARK ST",
"address_2": "PO BOX 22",
"city": "FALMOUTH",
"state": "MI",
"postal_code": "496325102",
"telephone_number": "231-878-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 WHITE BEAR AVE N",
"address_2": "SUITE A11",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095155",
"telephone_number": "651-229-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNING",
"first_name": "CRAIG",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60416104",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0318779",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0318815",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0318818",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0318810",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.