Kayla Smith, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

024184-01 Issued in NY

Practice address

4233 Lake Ave
Blasdell, NY 14219-1216

Phone

(716) 332-3070

NPI assigned

Jun 11, 2021

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1821666355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904",
            "fax_number": "716-332-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 LAKE AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191216",
            "telephone_number": "716-332-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071816",
            "country_code": "US",
            "telephone_number": "716-875-2904",
            "fax_number": "716-332-0917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142012135",
            "country_code": "US",
            "telephone_number": "716-242-8600",
            "fax_number": "716-332-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "024184-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rowswell, AGNP-C
• Heidi Rusinek
• Tony Sakr, PHARMD
• Sarah Sciarrino, D.D.S.
• Shalini Sharma, O.D.
• South Park Optical, Inc.
• Tammy M Stafford, L.M.T.
• Peter F. Starkey, DDS
• Melissa Marie Stewart, PHARMD
• Randi Gail Stewart, OD

• Dental Hygienist in Blasdell, NY
• Providers in Blasdell, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.