Individual provider Active NPI

Kathleen Dawn Buss, DDS

  • General Practice Dentistry
  • Patuxent River, MD
National Provider Identifier
1982696845
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08269 Issued in IA
Practice address
41479 Buse Rd BLDG 1370
Patuxent River, MD 20653
Phone
(301) 342-1408
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08269 IA Primary
Public Health Dentistry 1223D0001X 08269 IA

Addresses

Primary practice location

41479 Buse Rd BLDG 1370
Patuxent River, MD 20653

Mailing address

3908 Baltimore St
Kensington, MD 20895-3906
Phone (202) 730-5637

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://npiregistry.cms.hhs.gov/
Direct Messaging Address kathleen.d.buss.mil@mail.mil

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08269IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1982696845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 BALTIMORE ST",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953906",
            "telephone_number": "202-730-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41479 BUSE RD BLDG 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "20653",
            "telephone_number": "301-342-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "KATHLEEN",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08269",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "IA",
            "license": "08269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/",
            "affiliation": "N",
            "address_1": "3908 Baltimore St",
            "city": "Kensington",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208953906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.d.buss.mil@mail.mil",
            "affiliation": "N",
            "address_1": "3908 Baltimore St",
            "city": "Kensington",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208953906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patuxent River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.