Active NPI
Latifa Rahman Bairam, BDS, MSC
- Prosthodontics
- Buffalo, NY
National Provider Identifier
1871812545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 000018-1
- Practice address
- 3435 Main St
210 Squire Hall Suny at Buffalo
Buffalo, NY 14214-3001 - Phone
- (716) 829-6360
- NPI assigned
- May 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 000018-1 | NY | Primary |
Addresses
Primary practice location
3435 Main St
210 Squire Hall Suny at Buffalo
Buffalo, NY 14214-3001
Mailing address
3435 Main St
210 Squire Hall Suny at Buffalo
Buffalo, NY 14214-3001
Phone (716) 829-6360
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 |
|---|---|---|---|
| 000018-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1871812545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 MAIN ST",
"address_2": "210 SQUIRE HALL SUNY AT BUFFALO",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142143001",
"telephone_number": "716-829-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN ST",
"address_2": "210 SQUIRE HALL SUNY AT BUFFALO",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142143001",
"telephone_number": "716-829-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRAM",
"first_name": "LATIFA",
"middle_name": "RAHMAN",
"credential": "BDS, MSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "000018-1",
"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 May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.