Active NPI
Ryan Corbelli, DDS
- Periodontics
- East Amherst, NY
National Provider Identifier
1316563448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 061090
- Practice address
- 6489 Transit Rd
East Amherst, NY 14051-1427 - Phone
- (716) 626-4427
- NPI assigned
- Jun 24, 2020
- 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 | 061090 | NY | Primary |
Addresses
Primary practice location
6489 Transit Rd
East Amherst, NY 14051-1427
Mailing address
240 Tiffany LN
Lancaster, NY 14086-9202
Phone (716) 573-4734
Other practice location 1
240 Tiffany Ln
Lancaster, NY 14086-9202
Phone (716) 573-4734
Other practice location 2
1050 French Rd
Cheektowaga, NY 14227-3750
Phone (716) 668-2889
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 |
|---|---|---|---|
| 061090 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Periodontics | Single Specialty | Current | Accepting new patients |
| Buffalo Implants and Periodontics PLLC | Periodontics | Past | Accepting new patients |
Locations
6489 Transit Rd
East Amherst, NY 14051
Phone (716) 626-4427
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Cheektowaga, NY
- NPI 1477168052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1316563448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 TIFFANY LN",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140869202",
"telephone_number": "716-573-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6489 TRANSIT RD",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140511427",
"telephone_number": "716-626-4427"
}
],
"practiceLocations": [
{
"address_1": "240 Tiffany Ln",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "NY",
"postal_code": "140869202",
"country_code": "US",
"telephone_number": "716-573-4734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 French Rd",
"address_purpose": "LOCATION",
"city": "Cheektowaga",
"state": "NY",
"postal_code": "142273750",
"country_code": "US",
"telephone_number": "716-668-2889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBELLI",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "061090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.