Active NPI
Samuel Richard Conti III, DMD
- Student in an Organized Health Care Education/Training Program
- Buffalo, NY
National Provider Identifier
1518760925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3435 Main St
119 Squire Hall, First Floor
Buffalo, NY 14214 - Phone
- (716) 899-6637
- NPI assigned
- Mar 31, 2025
- Last updated
- Mar 31, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3435 Main St
119 Squire Hall, First Floor
Buffalo, NY 14214
Mailing address
3435 Main St
119 Squire Hall, First Floor
Buffalo, NY 14214
Phone (716) 899-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20260624004473 | TN | Order and Referring Only - Oral Surgery | 0840763496 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1518760925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 MAIN ST",
"address_2": "119 SQUIRE HALL, FIRST FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-899-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN ST",
"address_2": "119 SQUIRE HALL, FIRST FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-899-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "SAMUEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Mar 31, 2025; 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.