Organization Active NPI

Stellar Dental Care

  • General Practice Dentistry
  • Williamsville, NY
National Provider Identifier
1881821452
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STELLAR DENTAL CARE
Practice address
7500 Transit Rd
Suite 200
Williamsville, NY 14221-6018
Phone
(716) 632-5555
Fax
(716) 632-9824
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Dianna Melman, DDS
Title
General Dentist
Phone
(716) 632-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7500 Transit Rd
Suite 200
Williamsville, NY 14221-6018

Mailing address

7500 Transit Rd
Suite 200
Williamsville, NY 14221-6018
Phone (716) 632-5555

Other identifiers 1

IdentifierTypeStateIssuer
03098051MedicaidNY

National Provider Directory

National Provider Directory

Locations

7500 Transit Rd
#200
Williamsville, NY 14221
Phone (716) 632-5555

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1881821452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 TRANSIT RD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216018",
            "telephone_number": "716-632-5555",
            "fax_number": "716-632-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TRANSIT RD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216018",
            "telephone_number": "716-632-5555",
            "fax_number": "716-632-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MELMAN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "716-632-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03098051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 22, 2009; 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.