Individual provider Active NPI

Michael Samual Lamastra, D.D.S.

  • Dentist
  • Amherst, NY
National Provider Identifier
1043364623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
033722 Issued in ND
Practice address
4243 Maple Rd
Amherst, NY 14226-1039
Phone
(716) 833-4637
Fax
(716) 833-4639
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 033722 ND Primary

Addresses

Primary practice location

4243 Maple Rd
Amherst, NY 14226-1039

Mailing address

4243 Maple Rd
Amherst, NY 14226-1039
Phone (716) 833-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001310 NY Order and Referring Only - DentistPractitioner - Dentist 7719285741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033722NDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043364623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261039",
            "telephone_number": "716-833-4637",
            "fax_number": "716-833-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261039",
            "telephone_number": "716-833-4637",
            "fax_number": "716-833-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMASTRA",
        "first_name": "MICHAEL",
        "middle_name": "SAMUAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "033722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.