Kierra Bleyle, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

063988 Issued in NY

Practice address

275 Thomas Indian School Dr
Irving, NY 14081-9341

Phone

(716) 532-5582

Fax

(716) 242-6344

NPI assigned

May 1, 2023

Last updated

Oct 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1023033511
  Medicare reassignment NPD
• Seneca Nation of Indians

  • Land Ambulance
  • Irving, NY
  • NPI 1982231890
  NPD
• Seneca Nation of Indians

  dba Lionel R John Health Center

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1609882976
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1215625918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 R C HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819341",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEYLE",
        "first_name": "KIERRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07928509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Andersen, RD/CDN/CDE
• Daniel M Astry, RPH
• Edgar Lacson Bangsil, M.D.
• Banjo Catfish Emergency Physician Services PLLC
• Benjamin Ronald Baumler, PT
• Dana Marie Brimmer, DPM
• Brooks - TLC Hospital System, Inc.
• Amy Bryan, D.D.S.
• Mary Elizabeth Buck, LMSW
• Alexander Campagna, DDS

• Dentist in Irving, NY
• Providers in Irving, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.