NPIMap

Organization Active NPI

Applegate Dental

Doing business as Amherst Dental Group

  • Dentist
  • Williamsville, NY
National Provider Identifier
1841654571
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052059 Issued in NY
Legal business name
APPLEGATE DENTAL
Doing business as
Amherst Dental Group
Practice address
777 Hopkins Rd
Williamsville, NY 14221-2320
Phone
(716) 689-8882
Fax
(716) 689-6183
NPI assigned
Apr 8, 2016
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLEGATE DENTAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Dr. Lee M Shainbrown, D.D.S.
Title
Owner
Phone
(716) 689-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052059 NY Primary

Addresses

Primary practice location

777 Hopkins Rd
Williamsville, NY 14221-2320

Mailing address

777 Hopkins Rd
Williamsville, NY 14221-2320
Phone (716) 689-8882

Other names 1

  • Amherst Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applegate Dental2 organizations share this tax ID, including this one
Part of
Applegate Dental

Other organizations with this tax ID 1

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

Locations

777 Hopkins Rd
Williamsville, NY 14221
Phone (716) 689-8882

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1841654571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212320",
            "telephone_number": "716-689-8882",
            "fax_number": "716-689-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212320",
            "telephone_number": "716-689-8882",
            "fax_number": "716-689-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLEGATE DENTAL, PLLC",
        "enumeration_date": "2016-04-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "SHAINBROWN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-689-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amherst Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.