NPIMap

Organization Active NPI

John P. Eberz DDS, PC

  • Dental Clinic/Center
  • West Seneca, NY
National Provider Identifier
1083199046
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN P. EBERZ DDS, PC
Practice address
3811 Seneca St
West Seneca, NY 14224-3434
Phone
(716) 674-3737
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Dr. John Eberz, DDSNPI 1881853588
Title
Owner/Dentist
Phone
(716) 674-3737

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3811 Seneca St
West Seneca, NY 14224-3434

Mailing address

3811 Seneca St
West Seneca, NY 14224-3434
Phone (716) 674-3737

Other identifiers 1

IdentifierTypeStateIssuer
02808386MedicaidNY

Other names 1

  • Healthy Smiles Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3811 Seneca St
West Seneca, NY 14224
Phone (716) 674-3737

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": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1083199046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243434",
            "telephone_number": "716-674-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243434",
            "telephone_number": "716-674-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. EBERZ DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "EBERZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "716-674-3737",
        "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": "02808386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.