DR. LENA BUCKENDORF (NPI# 1700307097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700307097 |
| Entity Type | Individual |
| Full Name | DR. LENA BUCKENDORF |
| Credential | DDS |
| Practice Address |
10357 Fairway Dr Ste 100 Roseville CA 95678-3544 |
| Mailing Address |
2564 Raleigh Way El Dorado Hills CA 95762-6973 |
| Practice Telephone | 9167824500 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DDS104227 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2564 Raleigh Way, El Dorado Hills, CA 957626973 | 9169957443 |
| Street Address |
10357 FAIRWAY DR STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922380823 | Ryan Raymond Plewe | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2011-09-15 |
| 1477961738 | Joohyun Cha | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| 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 |
|---|---|---|---|---|
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1114436441 | Christian Favero | Dentist | 1603 Eureka Rd Ste 400, Roseville, CA 95661-3028 | 2017-09-29 |
| 1225432685 | Mark H Holt | Dentist | 1421 Secret Ravine Pkwy Ste 121, Roseville, CA 95661-6045 | 2014-10-14 |
| 1295171197 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 1230 Roseville Pkwy, Ste 120, Roseville, CA 95678-3586 | 2013-05-17 |
| 1922380823 | Ryan Raymond Plewe | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2011-09-15 |
| 1154610921 | Aida Ameri | Dentist | 2012 Katherine Pl, Roseville, CA 95678-1015 | 2011-04-01 |
| 1639362288 | Marc C. Dunn | Dentist | 10012 Foothills Blvd, Roseville, CA 95747-7102 | 2007-08-27 |
| 1295930006 | Garri Tsibel | Dentist | 1565 Eureka Rd, Roseville, CA 95661-3045 | 2007-06-20 |
| 1568532323 | Steven W Frank | Dentist | 4021 Woodcreek Oaks Blvd, Suite 100, Roseville, CA 95747 | 2006-11-09 |
| 1710067095 | Prasanna Kumar Shivapuja | Dentist | 25979 Kelly Rd, Roseville, MI 48066-4941 | 2006-10-17 |
| Find all providers in ROSEVILLE | ||||
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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.