Individual provider Active NPI

Tiffany Melini Jadoo, DDS

  • Pediatric Dentistry
  • Amherst, NY
National Provider Identifier
1528379740
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0555441 Issued in NY
Practice address
3476 Sheridan Dr
Amherst, NY 14226-1545
Phone
(716) 332-2444
NPI assigned
Jun 23, 2010
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0555441 NY Primary

Addresses

Primary practice location

3476 Sheridan Dr
Amherst, NY 14226-1545

Mailing address

159 Stratford Rd
Buffalo, NY 14216-1714
Phone (646) 269-3822

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

State licenses

LicenseStateTypeSpecialty
0555441NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winning Smiles Adult Dentistry PLLC Past Accepting new patients
Winning Smiles Pediatric Dentistry Pediatric Dentistry 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1528379740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 STRATFORD RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161714",
            "telephone_number": "646-269-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261545",
            "telephone_number": "716-332-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADOO",
        "first_name": "TIFFANY",
        "middle_name": "MELINI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0555441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.