Individual provider Active NPI

Ronald Jay Sadler, DDS

  • General Practice Dentistry
  • Amherst, NY
National Provider Identifier
1912122292
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040591-1 Issued in NY
Practice address
4330 Maple Rd
Amherst, NY 14226-1064
Phone
(716) 362-4800
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040591-1 NY Primary

Addresses

Primary practice location

4330 Maple Rd
Amherst, NY 14226-1064

Mailing address

4330 Maple Rd
Amherst, NY 14226-1064
Phone (716) 362-4800

Other practice location 1

3030 Orchard Park Rd
West Seneca, NY 14224-4667
Phone (716) 362-4800

Other practice location 2

199 Delaware Ave
Buffalo, NY 14202-2113
Phone (716) 362-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002417 NY Order and Referring Only - DentistPractitioner - Dentist 9335441328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040591NYMDPharmacist
040591-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Dental Group PLLC General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1912122292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261064",
            "telephone_number": "716-362-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261064",
            "telephone_number": "716-362-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Orchard Park Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142244667",
            "country_code": "US",
            "telephone_number": "716-362-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142022113",
            "country_code": "US",
            "telephone_number": "716-362-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADLER",
        "first_name": "RONALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040591-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.