Active NPI
Alecia Marie Staszel, DMD
- General Practice Dentistry
- Allegany, NY
National Provider Identifier
1811480684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 062600
- Practice address
- 3065 Back Buffalo Rd
Allegany, NY 14706 - Phone
- (716) 372-8400
- NPI assigned
- Jun 7, 2018
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 062600 | NY | Primary |
Addresses
Primary practice location
3065 Back Buffalo Rd
Allegany, NY 14706
Mailing address
760 Venango Ave
Pittsburgh, PA 15209-1248
Other practice location 1
1910 Cochran Rd # Manor2
Pittsburgh, PA 15220-1203
Phone (412) 440-0344
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 |
|---|---|---|---|
| 062600 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1811480684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 VENANGO AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152091248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 BACK BUFFALO RD",
"city": "ALLEGANY",
"state": "NY",
"postal_code": "14706",
"telephone_number": "716-372-8400"
}
],
"practiceLocations": [
{
"address_1": "1910 Cochran Rd # Manor2",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152201203",
"country_code": "US",
"telephone_number": "412-440-0344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STASZEL",
"first_name": "ALECIA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2022-08-24",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "062600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.