Individual provider Active NPI

Samantha Pajak, DDS

  • Dentist
  • West Seneca, NY
National Provider Identifier
1992337166
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
062010 Issued in NY
Practice address
2177 Union Rd
West Seneca, NY 14224-1428
Phone
(716) 668-4646
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 062010 NY Primary

Addresses

Primary practice location

2177 Union Rd
West Seneca, NY 14224-1428

Mailing address

30 Thornapple LN
Orchard Park, NY 14127-4533

Other practice location 1

3495 Bailey Ave # 160
Buffalo, NY 14215-1129
Phone (716) 862-8739

Other practice location 2

22 S Lincoln Ave
Orchard Park, NY 14127-2617
Phone (716) 662-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
062010NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Dental, PLLC Dentist PastSince Sep 23, 2021 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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1992337166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 THORNAPPLE LN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241428",
            "telephone_number": "716-668-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Bailey Ave # 160",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151129",
            "country_code": "US",
            "telephone_number": "716-862-8739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272617",
            "country_code": "US",
            "telephone_number": "716-662-2179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAJAK",
        "first_name": "SAMANTHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.