Individual provider Active NPI

Heather Braun Buccieri, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • East Aurora, NY
National Provider Identifier
1174775548
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
041213 Issued in NY
Practice address
377 Main St
East Aurora, NY 14052-1735
Phone
(716) 655-1000
Fax
(716) 652-3300
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 041213 NY Primary

Addresses

Primary practice location

377 Main St
East Aurora, NY 14052-1735

Mailing address

377 Main St
East Aurora, NY 14052-1735
Phone (716) 655-1000

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
041213NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1174775548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521735",
            "telephone_number": "716-655-1000",
            "fax_number": "716-652-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521735",
            "telephone_number": "716-655-1000",
            "fax_number": "716-652-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN BUCCIERI",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "041213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.