Organization Active NPI

Aspire Family Dental, PLLC

Doing business as Aspire Family Dental

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1790920478
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASPIRE FAMILY DENTAL, PLLC
Doing business as
Aspire Family Dental
Practice address
484 Ontario Street
Buffalo, NY 14207
Phone
(716) 873-0681
Fax
(716) 995-2956
NPI assigned
Dec 9, 2008
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Todd R Levine, DDSNPI 1831249846
Title
Owner / Sole Member
Phone
(716) 439-1877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

484 Ontario Street
Buffalo, NY 14207

Mailing address

484 Ontario Street
Buffalo, NY 14207
Phone (716) 873-0681

Other identifiers 1

IdentifierTypeStateIssuer
03162109MedicaidNY

Other names 1

  • Aspire Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aspire Family Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

484 Ontario St
Buffalo, NY 14207
Phone (716) 873-0681

Practitioners & affiliated clinicians

Practitioners 1

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": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1790920478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 ONTARIO STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14207",
            "telephone_number": "716-873-0681",
            "fax_number": "716-995-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 ONTARIO STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14207",
            "telephone_number": "716-873-0681",
            "fax_number": "716-995-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / SOLE MEMBER",
        "authorized_official_telephone_number": "716-439-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Family Dental",
            "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 Oct 6, 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.