Kenmore Qualitycare Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENMORE QUALITYCARE DENTISTRY, PC

Practice address

956 Kenmore Ave
Buffalo, NY 14216-1450

Phone

(716) 874-7112

Fax

(716) 874-7113

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Lacarrubba

Title

President

Phone

(716) 297-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Mei Kwan Chang, D.D.S.

  • General Practice Dentistry
  • Buffalo, NY
  • NPI 1639329162
  NPD (past)
• Martin Gorkiewicz

  • Dentist
  • Buffalo, NY
  • NPI 1720471063
  NPD (past)
• Viktoriya Kuchuk, DDS

  • General Practice Dentistry
  • Buffalo, NY
  • NPI 1942791983
  NPD (past)
• Nina Ruthie Olivieri, DDS

  • General Practice Dentistry
  • Buffalo, NY
  • NPI 1124581251
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902077928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161450",
            "telephone_number": "716-874-7112",
            "fax_number": "716-874-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161450",
            "telephone_number": "716-874-7112",
            "fax_number": "716-874-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE QUALITYCARE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "LACARRUBBA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-297-5500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS CHILD HEALTH PLUS",
            "identifier": "GRP529003001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Kendra
• Monet Emani Kendrick
• Brian Matthew Kenjarski, MD
• Kenmore Eyecare Inc.
• Kenmore Pediatric Assoc., P.C.
• Kenmore Village Pharmacy, LLC.
• Kenmore-Town of Tonawanda Ufsd
• Alexis Rose Kennedy
• Amy Marie Kennedy, LPN
• Caroline Ruth Kennedy, RDN

• General Practice Dentistry in Buffalo, NY
• Providers in Buffalo, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.