Individual provider Active NPI

Robert E Schifferle, DDS. PHD

  • Periodontics
  • Buffalo, NY
National Provider Identifier
1720095136
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38371-1 Issued in NY
Practice address
3435 Main St
University at Buffalo - Foster Hall
Buffalo, NY 14214-3001
Phone
(716) 829-2013
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 38371-1 NY Primary

Addresses

Primary practice location

3435 Main St
University at Buffalo - Foster Hall
Buffalo, NY 14214-3001

Mailing address

3435 Main Street
University at Buffalo- Dental Medicine - Foster Hall
Buffalo, NY 14214-3092
Phone (716) 829-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38371-1NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1720095136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN STREET",
            "address_2": "UNIVERSITY AT BUFFALO- DENTAL MEDICINE - FOSTER HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143092",
            "telephone_number": "716-829-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "UNIVERSITY AT BUFFALO - FOSTER HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFERLE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS. PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "38371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2007; 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.