Individual provider Active NPI

Johan Olav Kjorven, DDS

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1477356483
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065483 Issued in NY
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

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.