Bradley Buchwald DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRADLEY BUCHWALD DMD

Practice address

6549 Coit Rd
Ste 124
Frisco, TX 75035

Phone

(972) 377-5940

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Jason Buchwald, DMD

Title

Owner

Phone

(972) 377-5940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1922576396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 COIT RD",
            "address_2": "STE 124",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-377-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 COIT RD",
            "address_2": "STE 124",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-377-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY BUCHWALD DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "BUCHWALD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-377-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1639426521",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Boysen
• Imran Khan Bozai, PHARMD
• Katelyn Suzanne Braatz, MS, LPC, NBCC
• Trace Bracci
• Megan Wesley Brackenbury
• Bradley Friedman M.D. P.a.
• Crystal Renee Bradley, PHARM.D.
• Pamela Janice Bradley, LPC
• Shalako Mongosanta Bradley Jr.
• Temesa Bradley, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.