Individual provider Active NPI

Lauren Boyczuk, DDS

  • Dentist
  • Buffalo, NY
National Provider Identifier
1720658784
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061766 Issued in NY
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

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
061766NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elana Korn DDS PLLC CurrentSince Jul 1, 2021 Accepting new patients
Gross-Weinman, DDS PC PastSince Jul 1, 2021 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.

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.

Verify at the official NPI Registry.