Organization Active NPI

Jihane M Riad, DDS, PLLC

  • General Practice Dentistry
  • Lockport, NY
National Provider Identifier
1245796283
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIHANE M RIAD, DDS, PLLC
Practice address
5875 Snyder Drive
Lockport, NY 14094
Phone
(716) 434-0610
Fax
(716) 434-4394
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Pamela L Russell
Title
Office Manager
Phone
(716) 434-0610

Specialties & licenses 1

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

Addresses

Primary practice location

5875 Snyder Drive
Lockport, NY 14094

Mailing address

5875 Snyder Drive
Lockport, NY 14094
Phone (716) 434-0610

Other practice location 1

261 Young St
Wilson, NY 14172-9549
Phone (716) 751-9773

Other identifiers 4

IdentifierTypeStateIssuer
1457378549OtherNYGENERAL DENTISTRY
1063432102OtherNYGENERAL DENTISTRY
1235678640OtherNYGENERAL DENTISTRY
1548287626OtherNYGENERAL DENTISTRY

Other names 1

  • DPR General Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5875 Snyder Dr
Lockport, NY 14094
Phone (716) 434-0610

Practitioners & affiliated clinicians

Practitioners 3

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": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1245796283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 SNYDER DRIVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-434-0610",
            "fax_number": "716-434-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 SNYDER DRIVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-434-0610",
            "fax_number": "716-434-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Young St",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NY",
            "postal_code": "141729549",
            "country_code": "US",
            "telephone_number": "716-751-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JIHANE M RIAD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-434-0610"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1457378549",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1063432102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1235678640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "1548287626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DPR General Dentistry",
            "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 Jul 2, 2024; 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.