Organization Active NPI

Hillview Family Dental P.C.

  • General Practice Dentistry
  • Depew, NY
National Provider Identifier
1003012030
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037584 Issued in NY
Legal business name
HILLVIEW FAMILY DENTAL P.C.
Practice address
6347 Transit Rd
Depew, NY 14043-1030
Phone
(716) 681-5468
Fax
(716) 706-1106
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Russell Stasiak, D.D.S.NPI 1942299433
Title
Owner
Phone
(716) 681-5468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 037584 NY Primary

Addresses

Primary practice location

6347 Transit Rd
Depew, NY 14043-1030

Mailing address

6347 Transit Rd
Depew, NY 14043-1030
Phone (716) 681-5468

Other identifiers 1

IdentifierTypeStateIssuer
02722778MedicaidNY

National Provider Directory

National Provider Directory

Locations

6347 Transit Rd
Depew, NY 14043
Phone (716) 681-5468

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1003012030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431030",
            "telephone_number": "716-681-5468",
            "fax_number": "716-706-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6347 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431030",
            "telephone_number": "716-681-5468",
            "fax_number": "716-706-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLVIEW FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "STASIAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-681-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02722778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.