Active NPI
Lauren Boyczuk, DDS
- Dentist
- Buffalo, NY
National Provider Identifier
1720658784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061766
- Practice address
- 349 Elmwood Ave
Buffalo, NY 14222-2203 - Phone
- (716) 883-9447
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 061766 | NY | Primary |
Addresses
Primary practice location
349 Elmwood Ave
Buffalo, NY 14222-2203
Mailing address
349 Elmwood Ave
Buffalo, NY 14222-2203
Phone (716) 883-9447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061766 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elana Korn DDS PLLC | Current | Accepting new patients | |
| Gross-Weinman, DDS PC | Past | Accepting new patients |
Locations
349 Elmwood Ave
Buffalo, NY 14222
Phone (716) 883-9447
191 North St
Ste 202
Buffalo, NY 14201
Phone (716) 883-9447
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Buffalo, NY
- NPI 1265040463
-
- General Practice Dentistry
- Buffalo, NY
- NPI 1457588725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1720658784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222203",
"telephone_number": "716-883-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222203",
"telephone_number": "716-883-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYCZUK",
"first_name": "LAUREN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061766",
"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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.