Organization Active NPI

Gary R. Schoene DDS, PC

  • Dentist
  • West Seneca, NY
National Provider Identifier
1114479110
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030489 Issued in NY
Legal business name
GARY R. SCHOENE DDS, PC
Practice address
1265 Center Rd
West Seneca, NY 14224-2313
Phone
(716) 674-7044
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Gary Schoene, DDSNPI 1457554149
Title
Owner
Phone
(716) 674-7044

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 030489 NY Primary

Addresses

Primary practice location

1265 Center Rd
West Seneca, NY 14224-2313

Mailing address

1925 Seneca St
Buffalo, NY 14210-1852

Other identifiers 1

IdentifierTypeStateIssuer
00503668MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Gary R Schoene DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1925 Seneca St
Buffalo, NY 14210

Practitioners & affiliated clinicians

Practitioners 2

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1114479110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242313",
            "telephone_number": "716-674-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. SCHOENE DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHOENE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-674-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "030489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2016; 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.