Active NPI
Elizabeth Hargrave D'Angelo, D.D.S.
- Dentist
- Buffalo, NY
National Provider Identifier
1154619302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056347-1
- Practice address
- 215 Squire Hall
Buffalo, NY 14214-8006 - Phone
- (716) 829-2862
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056347-1 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
215 Squire Hall
Buffalo, NY 14214-8006
Mailing address
140 Alexander Way
Orchard Park, NY 14127-4450
Phone (716) 713-8885
Other practice location 1
1660 S Columbian Way
VA Puget Sound HCS, Dental Services S112-Dent
Seattle, WA 98108-1532
Phone (206) 277-1615
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 |
|---|---|---|---|
| 056347-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1154619302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ALEXANDER WAY",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141274450",
"telephone_number": "716-713-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SQUIRE HALL",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148006",
"telephone_number": "716-829-2862"
}
],
"practiceLocations": [
{
"address_1": "1660 S Columbian Way",
"address_2": "VA Puget Sound HCS, Dental Services S112-Dent",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981081532",
"country_code": "US",
"telephone_number": "206-277-1615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'ANGELO",
"first_name": "ELIZABETH",
"middle_name": "HARGRAVE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056347-1",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.