Active NPI
Madeline Masteller Buyers, D.D.S.
- Periodontics
- Orchard Park, NY
National Provider Identifier
1376787267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 057721-1
- Practice address
- 6435 Webster Rd
Orchard Park, NY 14127-1835 - Phone
- (716) 662-7229
- NPI assigned
- Apr 23, 2009
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 057721-1 | NY | Primary |
Addresses
Primary practice location
6435 Webster Rd
Orchard Park, NY 14127-1835
Mailing address
4931 Sheridan Dr
Williamsville, NY 14221-4549
Phone (734) 417-6747
Other names 1
- Dr. Madeline Jane Masteller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210127000485 | NY | Order and Referring Only - Dentist | 6507270949 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057721-1 | NY | MD | Periodontist |
| 058721 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1376787267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4931 SHERIDAN DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214549",
"telephone_number": "734-417-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 WEBSTER RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271835",
"telephone_number": "716-662-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUYERS",
"first_name": "MADELINE",
"middle_name": "MASTELLER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "057721-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "MASTELLER",
"middle_name": "JANE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.