DR. JENNIFER MARIE BUCHANAN DDS
NPI 1578691648
Dentist in San Rafael, CA

Q: What is Jennifer Buchanan's NPI number?

The NPI number for Jennifer Buchanan is 1578691648. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Jennifer Buchanan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Jennifer Buchanan enrolled in Medicare?

No. Jennifer Buchanan has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Buchanan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 01, 2007Opted out of Medicare · through Sep 1, 2026

1601 2ND ST, SUITE 103 B, SAN RAFAEL, CA 94901(415) 460-1601(415) 460-1606 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jennifer Marie Buchanan Dds NPPES

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

DR. JENNIFER MARIE BUCHANAN DDS (NPI 1578691648) is an individual dentist in San Rafael, California, licensed in California (35596) and active in the NPI registry since March 2007. She has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578691648

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER MARIE BUCHANANCredential: DDS

Location Address1601 2ND ST, SUITE 103 BSan Rafael, CA 94901-2712

Mailing Address69 Sequoia RdFairfax, CA 94930-1552 · (415) 457-0406

Phone(415) 460-1601

Fax(415) 460-1606

Sole ProprietorYes

Enumeration DateMarch 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578691648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 35596

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1601 2ND ST, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Marie Buchanan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMANTHA MAXWELL BA

Counselor (Addiction (Substance Use Disorder))

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 456-6655

ANDREW YU-SHIN SHU

Social Worker

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 456-6655

BECKY DAVIS

Counselor (Addiction (Substance Use Disorder))

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (408) 606-0681

ENNIS SCOTT SAMUEL JOHNSON

Counselor (Addiction (Substance Use Disorder))

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 526-7810

RAMIN BEHRAVAN

Counselor (Addiction (Substance Use Disorder))

1601 2ND ST, #104
SAN RAFAEL, CA 94901

Marin County (415) 446-1923

MRS. MICHELLE ANNE PURDY CADAC

Counselor (Addiction (Substance Use Disorder))

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 456-6655

CENTER POINT, INC.

Clinic/Center (Community Health)

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 456-6655

NATHAN JOSEPH FLEMING LVN

Licensed Vocational Nurse

1601 2ND ST
SAN RAFAEL, CA 94901

Marin County (415) 492-4444

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 Jennifer Buchanan's NPI number?

The NPI number for Jennifer Buchanan is 1578691648. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Jennifer Buchanan located?

Jennifer Buchanan practices at 1601 2nd St Suite 103 B, San Rafael, CA 94901. The listed phone number is (415) 460-1601.

What is Jennifer Buchanan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jennifer Buchanan enrolled in Medicare?

No. Jennifer Buchanan has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Buchanan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.