Individual provider Active NPI

Alfredo Aguirre, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Buffalo, NY
National Provider Identifier
1932298197
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
049560-1 Issued in NY
Practice address
3435 Main St
355 Squire Hall, Sunyab
Buffalo, NY 14214-3001
Phone
(716) 829-3553
Fax
(716) 829-3554
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 049560-1 NY Primary

Addresses

Primary practice location

3435 Main St
355 Squire Hall, Sunyab
Buffalo, NY 14214-3001

Mailing address

3435 Main St
355 Squire Hall, Sunyab
Buffalo, NY 14214-3001
Phone (716) 829-3553

Other identifiers 1

IdentifierTypeStateIssuer
02287332MedicaidNY

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
I20110215000333 NY Practitioner - Other (Physician)Practitioner - Oral Surgery 6901086594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049560-1NYMDOral and Maxillofacial Pathology Dentist
049560NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Oral & Maxillofacial Surgery, Inc CurrentSince Apr 1, 2016 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1932298197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "355 SQUIRE HALL, SUNYAB",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-3553",
            "fax_number": "716-829-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "355 SQUIRE HALL, SUNYAB",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-3553",
            "fax_number": "716-829-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "049560-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02287332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.