Individual provider Active NPI

Diane P. Pudlewski, DDS

  • General Practice Dentistry
  • Cheektowaga, NY
National Provider Identifier
1497775290
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37399 Issued in TX
Practice address
1526 Walden Ave Ste 600
Cheektowaga, NY 14225-4955
Phone
(716) 882-3777
Fax
(716) 464-6360
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37399 TX Primary
General Practice Dentistry 1223G0001X 046727 NY

Addresses

Primary practice location

1526 Walden Ave Ste 600
Cheektowaga, NY 14225-4955

Mailing address

1526 Walden Ave Ste 600
Cheektowaga, NY 14225-4955
Phone (716) 882-3777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160222001640 NY Order and Referring Only - DentistPractitioner - Dentist 5092010512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37399TXMDGeneral Practice Dentistry
046727NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Dental Implant PastSince Nov 24, 2025 Accepting new patients
Western New York Dental Group, PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1497775290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE STE 600",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254955",
            "telephone_number": "716-882-3777",
            "fax_number": "716-464-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE STE 600",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254955",
            "telephone_number": "716-882-3777",
            "fax_number": "716-464-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDLEWSKI",
        "first_name": "DIANE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37399",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.