Individual provider Active NPI

Mackenzie Olivieri, DDS

  • General Practice Dentistry
  • Lackawanna, NY
National Provider Identifier
1720660004
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062973 Issued in NY
Practice address
1497 Abbott Rd
Lackawanna, NY 14218-2057
Phone
(716) 825-5020
NPI assigned
Apr 26, 2021
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062973 NY Primary
General Practice Dentistry 1223G0001X 12672 NC

Addresses

Primary practice location

1497 Abbott Rd
Lackawanna, NY 14218-2057

Mailing address

1497 Abbott Rd
Lackawanna, NY 14218-2057
Phone (716) 825-5020

Other practice location 1

394 Main St
East Aurora, NY 14052-1715
Phone (716) 655-8880

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
12672NCMDGeneral Practice Dentistry
062973NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Associates PLLC General Practice Past Accepting new patients
John W. Hooker,DDS,PA PastSince Oct 1, 2022 Accepting new patients
Jennifer Lynn Finney, DDS, PLLC PastSince Jun 15, 2025 Accepting new patients
James F May DDS LLC General Practice PastSince Jun 15, 2025 Accepting new patients
University Pediatric Dentistry, P.C. PastSince Aug 1, 2015 Accepting new patients
DRS Roberts Reimels and Kashyap PLLC General Practice PastSince Oct 1, 2022 Accepting new patients
Southtowns Dental Services PC PastSince Mar 1, 2025 Accepting new patients

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1720660004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182057",
            "telephone_number": "716-825-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182057",
            "telephone_number": "716-825-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 Main St",
            "address_purpose": "LOCATION",
            "city": "East Aurora",
            "state": "NY",
            "postal_code": "140521715",
            "country_code": "US",
            "telephone_number": "716-655-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "MACKENZIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062973",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.