Active NPI
Tiffany McCarthy, DDS
- Pediatric Dentistry
- Fredonia, NY
National Provider Identifier
1326482951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 058188
- Practice address
- 85 W Main St
Fredonia, NY 14063-2139 - Phone
- (716) 672-2854
- NPI assigned
- Apr 25, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 058188 | NY | Primary |
Addresses
Primary practice location
85 W Main St
Fredonia, NY 14063-2139
Mailing address
4078 Beaubein Dr
Hamburg, NY 14075-6424
Phone (305) 439-8241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326482951 | 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 |
|---|---|---|---|
| 058188 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1326482951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4078 BEAUBEIN DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140756424",
"telephone_number": "305-439-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W MAIN ST",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140632139",
"telephone_number": "716-672-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "058188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326482951",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.