Individual provider Active NPI

Yusri Alabbadi, DDS

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1831783042
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062700 Issued in NY
Practice address
892 Elmwood Ave
Buffalo, NY 14222-1494
Phone
(716) 332-0460
NPI assigned
Feb 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 062700 NY Primary

Addresses

Primary practice location

892 Elmwood Ave
Buffalo, NY 14222-1494

Mailing address

444 Broadway St
Buffalo, NY 14204-1526
Phone (716) 352-5840

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

LicenseStateTypeSpecialty
062700NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood Village Dental PC General Practice CurrentSince Sep 4, 2022 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": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1831783042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041526",
            "telephone_number": "716-352-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221494",
            "telephone_number": "716-332-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABBADI",
        "first_name": "YUSRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 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.

Verify at the official NPI Registry.