Active NPI
Mary Creps, D.D.S.
- Dentist
- Williamsville, NY
National Provider Identifier
1518246602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50055691
- Practice address
- 1020 Youngs Rd
Williamsville, NY 14221-2698 - Phone
- (716) 636-1600
- Fax
- (716) 636-2595
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50055691 | NY | Primary |
Addresses
Primary practice location
1020 Youngs Rd
Williamsville, NY 14221-2698
Mailing address
1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 636-1600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225000980 | NY | Order and Referring Only - Dentist | 7719282961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50055691 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1518246602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 YOUNGS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212698",
"telephone_number": "716-636-1600",
"fax_number": "716-636-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 YOUNGS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212698",
"telephone_number": "716-636-1600",
"fax_number": "716-636-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREPS",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "50055691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.