Organization Active NPI

Richard M Costantini, D.D.S., P.C.

  • Dental Clinic/Center
  • Buffalo, NY
National Provider Identifier
1538344197
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
026346 Issued in NY
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

Updated by the provider on Jan 2, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00676013MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.