Active NPI
Samantha Pajak, DDS
- Dentist
- West Seneca, NY
National Provider Identifier
1992337166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 062010 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applegate Dental, PLLC | Dentist | Past | 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.
-
- Dentist
- West Seneca, NY
- NPI 1841651650
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.