NPIMap

Organization Active NPI

Buzbee Dental Clinic, Inc

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1952691982
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012276 Issued in MO
Legal business name
BUZBEE DENTAL CLINIC, INC
Practice address
1244 E Lark St
Springfield, MO 65804-7357
Phone
(417) 881-1388
Fax
(417) 889-1209
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Gary L Buzbee, DDSNPI 1023131760
Title
Founding Partner
Phone
(417) 881-1388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 012276 MO Primary

Addresses

Primary practice location

1244 E Lark St
Springfield, MO 65804-7357

Mailing address

1244 E Lark St
Springfield, MO 65804-7357
Phone (417) 881-1388

National Provider Directory

National Provider Directory

Locations

1244 E Lark St
Springfield, MO 65804
Phone (417) 881-1388

Practitioners & affiliated clinicians

Practitioners 4

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": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1952691982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 E LARK ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047357",
            "telephone_number": "417-881-1388",
            "fax_number": "417-889-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 E LARK ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047357",
            "telephone_number": "417-881-1388",
            "fax_number": "417-889-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUZBEE DENTAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BUZBEE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDING PARTNER",
        "authorized_official_telephone_number": "417-881-1388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.