Individual provider Active NPI

Andrew Reyda, DVM

  • Veterinarian
  • Hamburg, NY
National Provider Identifier
1376851766
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
007999-1 Issued in NY
Practice address
113 Buffalo St
Hamburg, NY 14075-5003
Phone
(716) 646-4023
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 007999-1 NY Primary

Addresses

Primary practice location

113 Buffalo St
Hamburg, NY 14075-5003

Mailing address

113 Buffalo St
Hamburg, NY 14075-5003
Phone (716) 646-4023

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

LicenseStateTypeSpecialty
007999-1NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1376851766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755003",
            "telephone_number": "716-646-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755003",
            "telephone_number": "716-646-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYDA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NY",
            "license": "007999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.