DR. BRADLEY JASON BUCHWALD (NPI# 1639426521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639426521 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY JASON BUCHWALD |
| Credential | DMD |
| Practice Address |
3302 Gaston Ave Dallas TX 75246-2013 |
| Practice Telephone | 2148288121 |
| Mailing Telephone | 2148288121 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
27839 | TX | Dental Providers |
| Street Address |
3302 GASTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263502 | Steven D Bender | Dentist | 3302 Gaston Ave, 169, Dallas, TX 75246-2013 | 2005-05-24 |
| 1164040572 | Stephanie Bowers | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2020-07-12 |
| 1649898016 | Kyle Jonathon Kuzmic | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2020-07-11 |
| 1497377261 | Karl Veasey | Dentist | 3302 Gaston Ave, Dept. of Public Health Sciences, Dallas, TX 75246-2013 | 2020-05-14 |
| 1013537869 | Erik Meckel | Dental Assistant | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2020-04-22 |
| 1447894795 | Renicke Moss | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2019-10-30 |
| 1043862501 | Sarah Grace Jensen | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2019-07-15 |
| 1457903262 | George Derrick Pylant Iv | Student in an Organized Health Care Education/Training Program | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2019-07-11 |
| 1679135016 | Eric Lin | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2019-07-06 |
| 1710548870 | Stephen Siew | Dentist | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658972 | Mason Dale Borth | Dentist | 7859 Walnut Hill Ln Ste 275, Dallas, TX 75230-5642 | 2019-06-19 |
| 1871156109 | Glew Pllc | Dentist | 6401 Hillcrest Ave Ste Tbd, Dallas, TX 75205-1852 | 2019-04-22 |
| 1316459365 | Pap Orthodontics Pllc | Dentist | 10909 Webb Chapel Rd Ste 121, Dallas, TX 75229-3739 | 2017-10-31 |
| 1033561014 | Bill Luu | Dentist | 8030 Spring Valley Rd, Dallas, TX 75240-3827 | 2016-07-01 |
| 1023465473 | Colby Cajero | Dentist | 9440 Garland Rd Ste 198, Dallas, TX 75218-3453 | 2016-05-16 |
| 1023482429 | Mohamed Kar-kuri | Dentist | 2525 Wycliff Ave, Suite 107, Dallas, TX 75219-2551 | 2015-11-23 |
| 1538555933 | Gayle Glenn | Dentist | 8325 Walnut Hill Ln Ste 111, Dallas, TX 75231-4212 | 2015-04-13 |
| 1255768743 | Da Lee | Dentist | 6401 Hillcrest Ave Ste 200, Dallas, TX 75205-1852 | 2013-09-30 |
| 1134562010 | Bamf Dental Pllc Dunkz Dental Pllc Mbr | Dentist | 7001 Preston Rd Ste 103, Dallas, TX 75205-1190 | 2013-04-10 |
| 1164782405 | Access Orthodontics of Hampton Pa | Dentist | 322 S Hampton Rd, Dallas, TX 75208-5617 | 2012-05-21 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.