NPIMap

Organization Active NPI

Aspire Family Dental, PLLC

  • Dentist
  • Lockport, NY
National Provider Identifier
1235285016
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASPIRE FAMILY DENTAL, PLLC
Practice address
5862 Snyder Dr
Lockport, NY 14094-9497
Phone
(716) 439-1877
Fax
(716) 433-6029
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Todd R LevineNPI 1831249846
Title
Owner
Phone
(716) 439-1877

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 Primary

Addresses

Primary practice location

5862 Snyder Dr
Lockport, NY 14094-9497

Mailing address

5862 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 439-1877

Other identifiers 1

IdentifierTypeStateIssuer
03162109MedicaidNY

Other names 1

  • Aspire Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5862 Snyder Dr
Lockport, NY 14094
Phone (716) 280-1003

57 Davison Ct
Ste D
Lockport, NY 14094
Phone (716) 433-6111

Practitioners & affiliated clinicians

Practitioners 4

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1235285016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-439-1877",
            "fax_number": "716-439-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-439-1877",
            "fax_number": "716-433-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-439-1877"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspire Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.