NPIMap

Organization Active NPI

Buffalo Niagara Endodontics, P.C.

Doing business as Czarencki, Domenico & Setlock, DDS, PC

  • Endodontics
  • Williamsville, NY
National Provider Identifier
1063547412
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BUFFALO NIAGARA ENDODONTICS, P.C.
Doing business as
Czarencki, Domenico & Setlock, DDS, PC
Practice address
5353 Main Street
Williamsville, NY 14221
Phone
(716) 634-4121
Fax
(716) 634-7857
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Dr. Sandra A. Shostad, D.M.D., M.S.NPI 1710199682
Title
Owner
Phone
(716) 634-4121

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5353 Main Street
Williamsville, NY 14221

Mailing address

5353 Main Street
Williamsville, NY 14221
Phone (716) 634-4121

Other names 1

  • Czarencki, Domenico & Setlock, DDS, PC Doing business as

National Provider Directory

National Provider Directory

Locations

5353 Main St
Williamsville, NY 14221
Phone (716) 634-3511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1063547412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-4121",
            "fax_number": "716-634-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-4121",
            "fax_number": "716-634-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO NIAGARA ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "SHOSTAD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-634-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Czarencki, Domenico & Setlock, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Czarencki, Domenico & Setlock, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.