Individual provider Active NPI

Madeline Masteller Buyers, D.D.S.

  • Periodontics
  • Orchard Park, NY
National Provider Identifier
1376787267
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
057721-1 Issued in NY
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

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000485 NY Order and Referring Only - DentistPractitioner - Dentist 6507270949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057721-1NYMDPeriodontist
058721NYMDPharmacist

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

Verify at the official NPI Registry.