Active NPI
Priscilla Joan Adams, DDS
- General Practice Dentistry
- Gowanda, NY
National Provider Identifier
1396752960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038674
- Practice address
- 104 Memorial Dr
Gowanda, NY 14070-1111 - Phone
- (716) 532-4022
- Fax
- (713) 532-2428
- NPI assigned
- Aug 3, 2006
- Last updated
- May 15, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 038674 | NY | Primary |
Addresses
Primary practice location
104 Memorial Dr
Gowanda, NY 14070-1111
Mailing address
750 Dick Rd
Cheektowaga, NY 14225
Phone (716) 684-8882
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038674 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1396752960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 DICK RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "14225",
"telephone_number": "716-684-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MEMORIAL DR",
"city": "GOWANDA",
"state": "NY",
"postal_code": "140701111",
"telephone_number": "716-532-4022",
"fax_number": "713-532-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "PRISCILLA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gowanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.