Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215625918 Individual Practitioner Female Practitioner

Dr. Kierra Bleyle , DDS

Dentist • Irving, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kierra Bleyle, DDS is a registered healthcare professional specializing in Dentist in Irving, NY. Practice services are available at 275 THOMAS INDIAN SCHOOL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 Thomas Indian School Dr

Irving, NY 140819341

Telephone 7165325582
Fax 7162426344
Associated Practice Facility / Clinic
🏢 Seneca Nation Of Indians Facility NPI 1477562288

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Irving, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Irving, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 063988

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07928509 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Monica Fellenz , PA

Physician Assistant - Medical

NPI 1043305246

Physician Assistant

Dr. Jonathan Sipior , DDS

Dentist - Pediatric Dentistry

NPI 1083107874

Doctor of Dental Surgery

NPI 1104940352

Doctor of Dental Surgery

Kristen Meder , LMHC

Counselor - Mental Health

NPI 1124563382

Licensed Mental Health Counselor

NPI 1154648897

Doctor of Medicine (M.D.)

Dr. Ronald Mendonza , MD

Internal Medicine

NPI 1184667271

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 31, 2025

Registered at 275 THOMAS INDIAN SCHOOL DR, IRVING, NY 140819341 (Tel: 7165325582)

📍
Updated Business Mailing Address October 31, 2025

Registered at 987 R C HOAG DR, SALAMANCA, NY 147791365 (Tel: 7169455894)

📍
Updated Practice Location July 18, 2024

Registered at 36 THOMAS INDIAN SCHOOL DR, IRVING, NY 140819300 (Tel: 7165320165)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Dentist (License #063988 in NY)

NPI Profile Active May 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2023

Registered at 462 GRIDER ST BLDG 1, BUFFALO, NY 142153098 (Tel: 7168983189)

📍
Updated Business Mailing Address May 01, 2023

Registered at 11121 FAIRVIEW DR, ALDEN, NY 140049522 (Tel: 7163923627)

👤
Provider Name / Credentials Updated May 01, 2023

Recorded as KIERRA BLEYLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215625918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2023
Last Update: October 31, 2025
Sole Proprietor: No

Mailing Address

987 R C Hoag Dr

Salamanca, NY 147791365

Phone: 7169455894

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.