Organization Active NPI

Growing Smiles Pediatric & Adolescent Dentistry, PLLC

  • Pediatric Dentistry
  • East Amherst, NY
National Provider Identifier
1770975880
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
052008 Issued in NY
Legal business name
GROWING SMILES PEDIATRIC & ADOLESCENT DENTISTRY, PLLC
Practice address
6501 Transit Rd
Suite B
East Amherst, NY 14051-1427
Phone
(716) 580-3580
Fax
(716) 580-3580
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Amanda Cryan, DDSNPI 1467509240
Title
Pediatric Dentist
Phone
(716) 580-3580

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 052008 NY Primary

Addresses

Primary practice location

6501 Transit Rd
Suite B
East Amherst, NY 14051-1427

Mailing address

6501 Transit Rd
Suite B
East Amherst, NY 14051-1427
Phone (716) 580-3580

Other identifiers 1

IdentifierTypeStateIssuer
02847652MedicaidNY

National Provider Directory

National Provider Directory

Locations

6501 Transit Rd
#B
East Amherst, NY 14051
Phone (716) 580-3580

Practitioners & affiliated clinicians

Practitioners 1

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": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1770975880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 TRANSIT RD",
            "address_2": "SUITE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-580-3580",
            "fax_number": "716-580-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 TRANSIT RD",
            "address_2": "SUITE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-580-3580",
            "fax_number": "716-580-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES PEDIATRIC & ADOLESCENT DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "CRYAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "716-580-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02847652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.