Active NPI
Richard M Costantini, D.D.S., P.C.
- Dental Clinic/Center
- Buffalo, NY
National Provider Identifier
1538344197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 026346
- Legal business name
- RICHARD M COSTANTINI, D.D.S., P.C.
- Practice address
- 1050 Abbott Rd
Buffalo, NY 14220-2400 - Phone
- (716) 822-6055
- Fax
- (716) 822-0592
- NPI assigned
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Mario Costantini, D.D.S.
- Title
- Dentist/Owner
- Phone
- (716) 822-6055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 026346 | NY | Primary |
Addresses
Primary practice location
1050 Abbott Rd
Buffalo, NY 14220-2400
Mailing address
1050 Abbott Rd
Buffalo, NY 14220-2400
Phone (716) 822-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00676013 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1050 Abbott Rd
Buffalo, NY 14220
Phone (716) 822-6055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1538344197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202400",
"telephone_number": "716-822-6055",
"fax_number": "716-822-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202400",
"telephone_number": "716-822-6055",
"fax_number": "716-822-0592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD M COSTANTINI, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "COSTANTINI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "MARIO",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "716-822-6055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "026346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00676013",
"state": "NY"
}
],
"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 Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.