Active NPI
Johan Olav Kjorven, DDS
- General Practice Dentistry
- Buffalo, NY
National Provider Identifier
1477356483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 065483
- Practice address
- 1520 Sheridan Dr
Buffalo, NY 14217-1212 - Phone
- (716) 427-6453
- NPI assigned
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 065483 | NY | Primary |
Addresses
Primary practice location
1520 Sheridan Dr
Buffalo, NY 14217-1212
Mailing address
187 Norwalk Ave
Buffalo, NY 14216-2421
Phone (646) 509-4440
Other practice location 1
6480 Main St
Williamsville, NY 14221-5852
Phone (716) 633-6354
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1477356483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 NORWALK AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142162421",
"telephone_number": "646-509-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SHERIDAN DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142171212",
"telephone_number": "716-427-6453"
}
],
"practiceLocations": [
{
"address_1": "6480 Main St",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142215852",
"country_code": "US",
"telephone_number": "716-633-6354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KJORVEN",
"first_name": "JOHAN",
"middle_name": "OLAV",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-27",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "065483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.