Organization Active NPI

Concierge Dental Group of Orchard Park

  • Dentist
  • Orchard Park, NY
National Provider Identifier
1508714601
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CONCIERGE DENTAL GROUP OF ORCHARD PARK
Practice address
2799 Southwestern Blvd
Orchard Park, NY 14127
Phone
(716) 333-3333
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Mrs. Paige C Zeisz
Title
Manager
Phone
(716) 481-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2799 Southwestern Blvd
Orchard Park, NY 14127

Mailing address

2799 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 333-3333

Other identifiers 1

IdentifierTypeStateIssuer
05823249MedicaidNY

National Provider Directory

National Provider Directory

Locations

2799 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 333-3333

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1508714601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-333-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-333-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE DENTAL GROUP OF ORCHARD PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ZEISZ",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-481-7590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05823249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.