Active NPI
Daniel Kobric, BSC, DMD, MSC
- Periodontics
- Buffalo, NY
National Provider Identifier
1275348203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 064380
- Practice address
- 3435 Main Street
250 Squire Hall
Buffalo, NY 14214 - Phone
- (716) 829-3845
- NPI assigned
- Feb 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 064380 | NY | Primary |
Addresses
Primary practice location
3435 Main Street
250 Squire Hall
Buffalo, NY 14214
Mailing address
119 Lisa Cres
Thornhill, ONTARIO L4J 2N2
CA
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 |
|---|---|---|---|
| 064380 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1275348203",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "119 LISA CRES",
"city": "THORNHILL",
"state": "ONTARIO",
"postal_code": "L4J 2N2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN STREET",
"address_2": "250 SQUIRE HALL",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-829-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBRIC",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "BSC, DMD, MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "064380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.