Active NPI
Anthony Dee MD PLLC
- Specialist
- Clarence, NY
National Provider Identifier
1760685689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2141671
- Legal business name
- ANTHONY DEE MD PLLC
- Practice address
- 9276 Main St
Suite 1a
Clarence, NY 14031-1969 - Phone
- (716) 759-7759
- Fax
- (716) 759-1759
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony S Dee, M.D.
- Title
- President
- Phone
- (716) 759-7759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2141671 | NY | Primary |
Addresses
Primary practice location
9276 Main St
Suite 1a
Clarence, NY 14031-1969
Mailing address
9276 Main St Ste 1a
PO Box 554
Clarence, NY 14031-0554
Phone (716) 759-7759
Other names 1
- Dermatologic Center for Excellence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802001057 | NY | Part B Supplier - Clinic/Group Practice | 2264403591 |
Receives reassigned benefits from 5 practitioners Practice locations: Clarence, NY |
National Provider Directory
National Provider DirectoryLocations
9276 Main St
Ste 1A
Clarence, NY 14031
Phone (716) 759-7759
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319414400000",
"number": "1760685689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9276 MAIN ST STE 1A",
"address_2": "PO BOX 554",
"city": "CLARENCE",
"state": "NY",
"postal_code": "140310554",
"telephone_number": "716-759-7759",
"fax_number": "716-759-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9276 MAIN ST",
"address_2": "SUITE 1A",
"city": "CLARENCE",
"state": "NY",
"postal_code": "140311969",
"telephone_number": "716-759-7759",
"fax_number": "716-759-1759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY DEE MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2011-10-24",
"status": "A",
"authorized_official_last_name": "DEE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-759-7759",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "2141671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatologic Center for Excellence",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clarence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.