Organization Active NPI

Chili Family Dental PLLC

  • General Practice Dentistry
  • North Chili, NY
National Provider Identifier
1891491866
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHILI FAMILY DENTAL PLLC
Practice address
4369 Buffalo Rd Ste a
North Chili, NY 14514-1236
Phone
(585) 488-5556
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Sanel Sadibasic, DDSNPI 1457744633
Title
Dentist
Phone
(716) 553-7696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

4369 Buffalo Rd Ste a
North Chili, NY 14514-1236

Mailing address

5908 Tweed TRL
Farmington, NY 14425-8803
Phone (716) 553-7696

Other names 1

  • Chili Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4369 Buffalo Rd
#A
North Chili, NY 14514
Phone (585) 488-5556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1891491866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 TWEED TRL",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258803",
            "telephone_number": "716-553-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 BUFFALO RD STE A",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141236",
            "telephone_number": "585-488-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILI FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SADIBASIC",
        "authorized_official_first_name": "SANEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "716-553-7696",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chili Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chili, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.