Sandra Anne Shostad, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

040981 Issued in NY

Practice address

5353 Main St
Williamsville, NY 14221-5337

Phone

(716) 634-4121

Fax

(716) 634-7857

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Buffalo Niagara Endodontics, P.C.

  • Endodontics
  • Williamsville, NY
  • NPI 1063547412
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1710199682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215337",
            "telephone_number": "716-634-4121",
            "fax_number": "716-634-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215337",
            "telephone_number": "716-634-4121",
            "fax_number": "716-634-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSTAD",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "040981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Verostko-Slazak, Nurse Practitioner in Adult Health PLLC
• Shifting Forward Physical Therapy PLLC
• Beverly Ann Shipe, N.P.
• Teresa Shoemaker, RN
• Tammie Short, LPN
• Anna Elizabeth Shurmatz, LCSW
• Eugene Michael Sibick, D.D.S.
• Elizabeth Sick, RN
• Melissa Elizabeth Sicurella
• Adnan H Siddiqui, MD, PHD

• Endodontics in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.