Organization Active NPI

McKinley Crossing Dental

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1144688201
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052390 Issued in NY
Legal business name
MCKINLEY CROSSING DENTAL
Practice address
4405 Milestrip Rd
Buffalo, NY 14219-2000
Phone
(716) 568-7247
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Kevin Clauser, DDS
Title
Owner
Phone
(716) 568-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052390 NY Primary

Addresses

Primary practice location

4405 Milestrip Rd
Buffalo, NY 14219-2000

Mailing address

4405 Milestrip Rd
Buffalo, NY 14219-2000

National Provider Directory

National Provider Directory

Locations

4405 Milestrip Rd
Buffalo, NY 14219
Phone (716) 568-7247

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1144688201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MILESTRIP RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142192000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MILESTRIP RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142192000",
            "telephone_number": "716-568-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY CROSSING DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "CLAUSER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-568-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.