Active NPI
Allan Edwin Chun-Lung Siu, DMD
- General Practice Dentistry
- Tonawanda, NY
National Provider Identifier
1114423506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060512
- Practice address
- 1730 Niagara Falls Blvd
Tonawanda, NY 14150-7531 - Phone
- (716) 831-2277
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060512 | NY | Primary |
Addresses
Primary practice location
1730 Niagara Falls Blvd
Tonawanda, NY 14150-7531
Mailing address
603 Bird Ave Apt 1
Buffalo, NY 14222-1271
Phone (216) 856-8907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060512 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1114423506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 BIRD AVE APT 1",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221271",
"telephone_number": "216-856-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 NIAGARA FALLS BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141507531",
"telephone_number": "716-831-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "ALLAN",
"middle_name": "EDWIN CHUN-LUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.