Andrea Bernadette Dysert, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

028591 Issued in NY

Practice address

155 Lawn Ave
Buffalo, NY 14207-1816

Phone

(716) 875-2904

Fax

(716) 875-6717

NPI assigned

Aug 1, 2023

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 names 1

• Andrea Bernadette Wahl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1275215121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904",
            "fax_number": "716-875-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904",
            "fax_number": "716-875-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSERT",
        "first_name": "ANDREA",
        "middle_name": "BERNADETTE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "028591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WAHL",
            "middle_name": "BERNADETTE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew M Dybalski, RPA-C
• James Richard Dyckman, MASTERS
• Patricia L Dyer, NP
• Debra Lasky Dykes, M.A., CCC/SP
• Victoria Lu Dykstra, LCSW
• Evgeny Arkadyevich Dyskin, MD, PHD
• Rachel Ann Dyster
• Jennifer Anne Dziadosz, ANP-BC
• Kenneth L Dzialak, COTA
• Jolanta Dzierzynska, LCSW

• Dental Hygienist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.