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JESSICA ELYSE CANALLATOS DDS
NPI 1326492208
Dentist - Prosthodontics in Buffalo, NY

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
462 GRIDER ST, BUFFALO, NY 14215(716) 898-1461 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2018, Jun 20, 2016 (2 updates tracked since 2016).

About Jessica Elyse Canallatos Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ELYSE CANALLATOS DDS (NPI 1326492208) is an individual prosthodontics provider in Buffalo, New York, licensed in New York (059063) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326492208
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameJESSICA ELYSE CANALLATOSCredential: DDS
Location Address462 GRIDER STBuffalo, NY 14215
Mailing Address908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019 · (716) 692-3302 · Fax (716) 692-4342
Phone(716) 898-1461
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2016
Last NPPES UpdateMay 15, 20182 updates tracked since enumeration
✔ NPI 1326492208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NY · 059063
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
462 GRIDER ST, Buffalo, NY 14215
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Other Names 1

Former Name (1)Jessica Elyse Silvestri Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Elyse Canallatos Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820397649
PECOS Enrollment IDI20180822000360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Canallatos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaleida Health
2.0 mi
General Acute Care Hospital
3 GATES CIR
Buffalo, NY 14209
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1831229780 (716) 887-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575
MS. ZENA SONDRA HYMAN NP
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Canallatos's NPI number?

The NPI number for Jessica Canallatos is 1326492208. It was assigned to this individual provider in the NPPES registry on April 18, 2016. The provider is also known as Jessica Elyse Silvestri Dds.

Where is Jessica Canallatos located?

Jessica Canallatos practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-1461.

What is Jessica Canallatos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Jessica Canallatos enrolled in Medicare?

Yes. Jessica Canallatos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Canallatos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Canallatos reassigns Medicare benefits to Kaleida Health (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Canallatos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Canallatos accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jessica Canallatos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Canallatos was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.