DR. DOROTHY J. BUCKNER M.D.
NPI 1275681355
Specialist in San Jose, CA

Q: What is Dorothy Buckner's NPI number?

The NPI number for Dorothy Buckner is 1275681355. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Dorothy Buckner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Buckner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

2577 SAMARITAN DR, SUITE 820, SAN JOSE, CA 95124(408) 356-8150 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 8, 2017 (2 updates tracked since 2017).

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About Dr. Dorothy J. Buckner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOROTHY J. BUCKNER M.D. (NPI 1275681355) is an individual specialist in San Jose, California, licensed in California (G24510) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Howard University College Of Medicine (1969).

NPPES Registry Identity

NPI1275681355

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. DOROTHY J. BUCKNERCredential: M.D.

Location Address2577 SAMARITAN DR, SUITE 820San Jose, CA 95124-4100

Mailing AddressPo Box 2376Los Gatos, CA 95031-2376 · (408) 356-8150

Phone(408) 356-8150

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 1969

Enumeration DateJanuary 8, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1275681355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G24510

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2577 SAMARITAN DR, San Jose, CA 95124

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Secondary Practice Location 1

Location 12505 Samaritan Dr Ste 508San Jose, CA 95124-4014 · Phone (408) 356-8150 · Fax (408) 356-8031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dorothy J. Buckner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456477439

PECOS Enrollment IDI20100928000099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

274 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

16 services15 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARJORIE FROST MCCRACKEN MD PHD

Pediatrics (Pediatric Gastroenterology)

2577 SAMARITAN DR, STE 815
SAN JOSE, CA 95124

Santa Clara County (408) 358-3573

CLAUDIA REAY M.D.

Pediatrics

2577 SAMARITAN DR, SUITE830
SAN JOSE, CA 95124

Santa Clara County (408) 356-1319

BRYAN J DRUCKER M.D.

Pediatrics

2577 SAMARITAN DR, SUITE 830
SAN JOSE, CA 95124

Santa Clara County (408) 356-1319

AMI A. SHETH DPM

Podiatrist

2577 SAMARITAN DR, SUITE 840
SAN JOSE, CA 95124

Santa Clara County (408) 358-6234

PARVEZ AHMED M.D.

Pediatrics

2577 SAMARITAN DR, SUITE # 725
SAN JOSE, CA 95124

Santa Clara County (408) 358-2755

FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION

Pediatrics (Pediatric Allergy/Immunology)

2577 SAMARITAN DR, SUITE 860
SAN JOSE, CA 95124

Santa Clara County (408) 358-2627

NOOR SACHDEV

Psychiatry & Neurology (Neurology)

2577 SAMARITAN DR, SUITE #840
SAN JOSE, CA 95124

Santa Clara County (408) 356-9029

SOUTH BAY BRAIN AND SPINE

Specialist

2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124

Santa Clara County (408) 358-0133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Buckner's NPI number?

The NPI number for Dorothy Buckner is 1275681355. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Dorothy Buckner located?

Dorothy Buckner practices at 2577 Samaritan Dr Suite 820, San Jose, CA 95124. The listed phone number is (408) 356-8150.

What is Dorothy Buckner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dorothy Buckner enrolled in Medicare?

Yes. Dorothy Buckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dorothy Buckner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.