Robert S Bavisotto, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0321781 Issued in NY

Practice address

2005 Niagara Falls Blvd
Amherst, NY 14228-3520

Phone

(716) 568-8044

Fax

(716) 649-1516

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suburban Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Amherst, NY
  • NPI 1366617250
  NPD (past) Authorized official
• Bright Smiles Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Amherst, NY
  • NPI 1447786579
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1619984515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 NIAGARA FALLS BLVD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283520",
            "telephone_number": "716-568-8044",
            "fax_number": "716-649-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 NIAGARA FALLS BLVD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283520",
            "telephone_number": "716-568-8044",
            "fax_number": "716-649-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISOTTO",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0321781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bauer
• Michael Bauer
• Priscilla Ofelia Bauer
• John Bauers, M.D.
• Nicole E Baumgartner, AUD
• James T Baxter, PNP
• Christina Bazinet
• Erica Bazzell, MS, LMT
• Cynthia Beatty, MD
• Krista Beaver, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Amherst, NY
• Providers in Amherst, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.