Samer Isa

Primary specialty

DentistTaxonomy code 122300000X

License

062567 Issued in NY

Practice address

8875 Porter Rd
Niagara Falls, NY 14304-1694

Phone

(716) 297-5500

NPI assigned

Apr 22, 2021

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

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

• Community Health Center of Buffalo, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buffalo, NY
  • NPI 1790787919
  Medicare reassignment NPD
• LC Dentistry PC

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

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1467034249",
    "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"
        },
        {
            "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": "Buffalo",
            "state": "NY",
            "postal_code": "142271919",
            "country_code": "US",
            "telephone_number": "716-668-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261039",
            "country_code": "US",
            "telephone_number": "716-657-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISA",
        "first_name": "SAMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Iacovitti, NURSE PRACTITIONER
• Nicholas Charles Iadevaia
• Maira Ilahi, DO
• Inspiring Mental Health Counseling, PC
• Cherry Ip
• Lynn Debra Ishman, M.S. SPECIAL ED.
• Sadaf Islam, MBBS
• J George Optical Company
• Camille Monique Jabbaar, LPN
• Michelle Jacob, CASAC

• 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 Dec 9, 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.