Organization Active NPI

Orchard Park Dentalcare PLLC

Doing business as ace dental buffalo

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1790260982
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ORCHARD PARK DENTALCARE PLLC
Doing business as
ace dental buffalo
Practice address
3302 Sheridan Dr
Buffalo, NY 14226
Phone
(716) 222-2228
NPI assigned
Oct 3, 2018
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Dr. Shashidhar Ramchandrareddy, DMDNPI 1033317813
Title
Dentisst
Phone
(617) 820-9291

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

3302 Sheridan Dr
Buffalo, NY 14226

Mailing address

25 Prestonwood LN
East Amherst, NY 14051-1648
Phone (617) 820-9291

Other names 1

  • ace dental buffalo Doing business as

National Provider Directory

National Provider Directory

Locations

3302 Sheridan Dr
Buffalo, NY 14226
Phone (617) 820-9291

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1790260982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PRESTONWOOD LN",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511648",
            "telephone_number": "617-820-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-222-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PARK DENTALCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "RAMCHANDRAREDDY",
        "authorized_official_first_name": "SHASHIDHAR",
        "authorized_official_title_or_position": "DENTISST",
        "authorized_official_telephone_number": "617-820-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ace dental buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2024; 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.