Tsa Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TSA DENTAL PC

Practice address

2700 N Forest Rd
Getzville, NY 14068-1527

Phone

(716) 707-3334

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Jael Tracy

Title

Office Manager

Phone

(716) 707-3334

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Tsa Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tsa Dental PC

  • Dentist
  • Amherst, NY
  • NPI 1386197358
  NPD tax ID

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1861846644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681527",
            "telephone_number": "716-707-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "JAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-707-3334"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03578943",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751248",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02273614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Leigh Thompson, M.S.ED.
• Colleen Lynn Tighe, M.S. SLP-CF
• Antoinette Tilton, M.A. CCC-SLP
• Kathleen Tower, OTR
• Kelly M Truong, DDS
• Stacy W Tucker
• Danielle Vallas, LMHC
• Cristina Vandemortel
• Brittney Vangorden
• Elise Noelle Velau, MS

• Dentist in Getzville, NY
• Providers in Getzville, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.