Tsa Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

055792 Issued in NY

Legal business name

TSA DENTAL PC

Practice address

7210 North Forest Road
Amherst, NY 14068

Phone

(716) 707-3334

Fax

(716) 707-3334

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Lacarrubba

Title

Owner,Ceo

Phone

(716) 390-8185

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Tsa Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tsa Dental PC

  • Dentist
  • Getzville, NY
  • NPI 1861846644
  NPD tax ID

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1386197358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 NORTH FOREST ROAD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "14068",
            "telephone_number": "716-707-3334",
            "fax_number": "716-707-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 NORTH FOREST ROAD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14068",
            "telephone_number": "716-707-3334",
            "fax_number": "716-707-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "LACARRUBBA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER,CEO",
        "authorized_official_telephone_number": "716-390-8185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046843-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751248",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03578943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Theresa Trottier, NP
• Sabrina Sukman Truc, PHARMD
• Brittney Alexandria Truesdale
• Tikana Truitt
• Savannah Lynne-Marie Trunzo
• April Marie Tucci, SOCIAL WORKER
• Stefannie Michelle Tucker
• Magdalene Shuser Tukov-Yual, ANP-BC
• Christine Regina Turturro
• Gordon Paul Tussing Jr., D.O.

• Dentist in Amherst, NY
• Providers in Amherst, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.