Individual provider Active NPI

Daniel C Yustin, DDS MS

  • Prosthodontics
  • East Amherst, NY
National Provider Identifier
1548486814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0452051 Issued in NY
Practice address
9386 Transit Rd
East Amherst, NY 14051
Phone
(716) 639-7301
Fax
(716) 639-7505
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0452051 NY Primary

Addresses

Primary practice location

9386 Transit Rd
East Amherst, NY 14051

Mailing address

9386 Transit Rd
East Amherst, NY 14051
Phone (716) 639-7301

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015001446 NY Order and Referring Only - DentistPractitioner - Dentist 0840509741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0452051NYMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548486814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9386 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-639-7301",
            "fax_number": "716-639-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9386 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-639-7301",
            "fax_number": "716-639-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSTIN",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "0452051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.