Active NPI
Alicia Elizabeth Hulme, DDS
- General Practice Dentistry
- Depew, NY
National Provider Identifier
1801388954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060550
- Practice address
- 2197 George Urban Blvd
Depew, NY 14043-1960 - Phone
- (716) 683-7443
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060550 | NY | Primary |
Addresses
Primary practice location
2197 George Urban Blvd
Depew, NY 14043-1960
Mailing address
4126 Capstone Cir
Williamsville, NY 14221-7389
Phone (585) 322-6733
Other practice location 1
3495 Bailey Ave
Buffalo, NY 14215-1129
Phone (834) 716-9200
Other practice location 2
5939 Transit Rd
Depew, NY 14043-2247
Phone (716) 391-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060550 | NY | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chester J. Gary, DDS and Mark D. Powalski, DDS, PC | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Depew, NY
- NPI 1598965691
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1801388954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 CAPSTONE CIR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217389",
"telephone_number": "585-322-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2197 GEORGE URBAN BLVD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431960",
"telephone_number": "716-683-7443"
}
],
"practiceLocations": [
{
"address_1": "3495 Bailey Ave",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142151129",
"country_code": "US",
"telephone_number": "834-716-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5939 Transit Rd",
"address_purpose": "LOCATION",
"city": "Depew",
"state": "NY",
"postal_code": "140432247",
"country_code": "US",
"telephone_number": "716-391-2499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULME",
"first_name": "ALICIA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390200000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.