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ELLYCE CLONAN DDS
NPI 1619461399
Dentist - General Practice in Buffalo, NY

Active since June 18, 2018PECOS Enrolled
3435 MAIN ST, BUFFALO, NY 14214(716) 829-3332(716) 833-3517 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2019, Sep 17, 2019, Jun 18, 2018 (3 updates tracked since 2018).

About Ellyce Clonan Dds NPPES

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

ELLYCE CLONAN DDS (NPI 1619461399) is an individual general practice provider in Buffalo, New York, licensed in New York (060727) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619461399
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELLYCE CLONANCredential: DDS
Location Address3435 MAIN STBuffalo, NY 14214-3099
Mailing Address3435 Main StBuffalo, NY 14214-3099 · (716) 829-3332 · Fax (716) 833-3517
Phone(716) 829-3332
Fax(716) 833-3517
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1619461399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 060727
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 060727 (NY)
3435 MAIN ST, Buffalo, NY 14214
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellyce Clonan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14214 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.

LARA EISA M.D
Anesthesiology
3435 MAIN ST, 252 FARBER HALL
BUFFALO, NY 14214
Erie County (716) 829-6102
DR. SARAH SHAFIK DDS
Dentist
3435 MAIN ST
BUFFALO, NY 14214
Erie County (716) 829-2824
MRS. MONICA DEL CARMEN ROMERO VINAS DDS, MS
Dentist
3435 MAIN ST
BUFFALO, NY 14214
Erie County (716) 262-9750
DR. HOANG CAM T. NGUYEN D.M.D.
Dentist
3435 MAIN ST, UNIV @ BUFFALO, SDM/RESTORATIVE DEPT
BUFFALO, NY 14214
Erie County (716) 829-2862
JUSTIN LOUIS RAGUSA
Nurse Anesthetist, Certified Registered
3435 MAIN ST, 326 WENDE HALL
BUFFALO, NY 14214
Erie County (716) 829-3204
MS. SUSAN CARRIE MANCUSO FNP
Nurse Practitioner (Family)
3435 MAIN ST, UNIVERSITY OF BUFFALO /MICHAEL HALL
BUFFALO, NY 14214
Erie County (716) 829-3316
JOSE LUIS TAPIA D.D.S., M.S.
Dentist (Oral and Maxillofacial Pathology)
3435 MAIN ST, 355 SQUIRE HALL, UNIVERSITY AT BUFFALO
BUFFALO, NY 14214
Erie County (716) 829-2538
STEPHEN WARUNEK DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
3435 MAIN ST, 140 SQUIRE HALL
BUFFALO, NY 14214
Erie County (716) 829-2872

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 Ellyce Clonan's NPI number?

The NPI number for Ellyce Clonan is 1619461399. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Ellyce Clonan located?

Ellyce Clonan practices at 3435 Main St, Buffalo, NY 14214. The listed phone number is (716) 829-3332.

What is Ellyce Clonan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ellyce Clonan enrolled in Medicare?

Yes. Ellyce Clonan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellyce Clonan was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.