Individual provider Active NPI

Peter F. Starkey, DDS

  • General Practice Dentistry
  • Blasdell, NY
National Provider Identifier
1790708337
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038165 Issued in NY
Practice address
3990 McKinley Pkwy
Suite 2
Blasdell, NY 14219-2900
Phone
(716) 649-1307
Fax
(716) 649-8210
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038165 NY Primary

Addresses

Primary practice location

3990 McKinley Pkwy
Suite 2
Blasdell, NY 14219-2900

Mailing address

125 Lawrence Bell Dr
Suite 102
Williamsville, NY 14221-7817
Phone (716) 634-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222000671 NY Order and Referring Only - DentistPractitioner - Dentist 8628373115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038165NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Dental Group,PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1790708337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAWRENCE BELL DR",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217817",
            "telephone_number": "716-634-4679",
            "fax_number": "716-634-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 MCKINLEY PKWY",
            "address_2": "SUITE 2",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142192900",
            "telephone_number": "716-649-1307",
            "fax_number": "716-649-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "PETER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blasdell, NY

Sources for this page

Verify at the official NPI Registry.