Seneca Ridge Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SENECA RIDGE DENTAL

Practice address

3626 Seneca St
West Seneca, NY 14224-3400

Phone

(716) 674-9444

NPI assigned

Sep 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David M Cappuccio, DDSNPI 1780025544

Title

Owner, Dentist, Member

Phone

(716) 674-9444

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• David Michael Cappuccio, DDS

  • Dentist
  • Olean, NY
  • NPI 1780025544
  NPD Authorized official

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1003391855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243400",
            "telephone_number": "716-674-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243400",
            "telephone_number": "716-674-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA RIDGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "CAPPUCCIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, DENTIST, MEMBER",
        "authorized_official_telephone_number": "716-674-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03971042",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029678060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Lee Scritchfield
• SCS Counseling LMHC PLLC
• Sarfaraz Semy, PA
• Seneca Health Care Center LLC
• Seneca Optical Inc.
• Katie Senick, PTA
• Michael Jan Seternus, PHARM.D.
• Katharyn Sexton, CNM
• Lee Mitchell Shainbrown, DDS
• Lillian Sharif

• Dental Clinic/Center in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.