Jason A Creps, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

055095 Issued in NY

Practice address

8875 Porter Rd
Niagara Falls, NY 14304-1694

Phone

(716) 297-5500

NPI assigned

Jul 10, 2009

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LC Dentistry PC

  dba Dr. Bob's Dental of Cheektowaga

  • General Practice Dentistry
  • Cheektowaga, NY
  • NPI 1568811164
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1417186552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041694",
            "telephone_number": "716-297-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041694",
            "telephone_number": "716-297-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3099 William St",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142271919",
            "country_code": "US",
            "telephone_number": "716-668-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREPS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2025-02-04",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Niagara (Niagara County Department of Health)
• Lisa A. Cox, LMHC
• Jennifer Ann Cramer, LCSW
• Timothy Arthur Cramer
• Olivia Mary Crawley, LMT
• Diane Lakomy Cress, OD
• Crestwood Health Care Center Inc (Crestwood HCC Pharmacy)
• Crestwood Health Care Center Inc.
• Gloria E Critelli Jr.
• Ashley E Cronkhite, LPN

• Dentist in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.

Verify at the official NPI Registry.