Active NPI
Peter D. Purcell, DDS
- Pediatric Dentistry
- West Seneca, NY
National Provider Identifier
1265421200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 38389
- Practice address
- 401 Potters Rd
West Seneca, NY 14220-2552 - Phone
- (716) 822-2499
- Fax
- (716) 821-9672
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 38389 | NY | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1223X0400X | NY |
Addresses
Primary practice location
401 Potters Rd
West Seneca, NY 14220-2552
Mailing address
401 Potters Rd
West Seneca, NY 14220-2552
Phone (716) 822-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00996694 | Medicaid | NY |
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 |
|---|---|---|---|
| 38389 | NY | MD | Pediatric Dentist |
| 1223X0400X | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1265421200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 POTTERS RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142202552",
"telephone_number": "716-822-2499",
"fax_number": "716-821-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 POTTERS RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142202552",
"telephone_number": "716-822-2499",
"fax_number": "716-821-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "PETER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "38389",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "1223X0400X",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00996694",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.