DR. LISA D BUCKINGHAM DDS
NPI 1811008675
Dentist - General Practice in St Paul, MN

Active since August 31, 2006PECOS Enrolled
205 WABASHA ST S, ST PAUL, MN 55107(651) 227-3757(651) 293-8130 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa D Buckingham Dds NPPES

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

DR. LISA D BUCKINGHAM DDS (NPI 1811008675) is an individual general practice provider in St Paul, Minnesota, licensed in Minnesota (11748) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811008675
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA D BUCKINGHAMCredential: DDS
Location Address205 WABASHA ST SSt Paul, MN 55107
Mailing AddressPo Box 1309, Mail Code 21113aMinneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5160
Fax(651) 293-8130
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811008675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 11748
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
205 WABASHA ST S, St Paul, MN 55107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa D Buckingham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Orthopaedic Surgery
205 WABASHA ST S
SAINT PAUL, MN 55107

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 Lisa Buckingham's NPI number?

The NPI number for Lisa Buckingham is 1811008675. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Lisa Buckingham located?

Lisa Buckingham practices at 205 Wabasha St S, St Paul, MN 55107. The listed phone number is (651) 227-3757.

What is Lisa Buckingham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Buckingham enrolled in Medicare?

Yes. Lisa Buckingham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Buckingham 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.