Nebridio Mario Dinardo, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

043247-1 Issued in NY

Practice address

1947 Ridge Rd
West Seneca, NY 14224-3339

Phone

(716) 675-9777

Fax

(716) 675-9645

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Oral Surgery Alliance of Upstate New York, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Depew, NY
  • NPI 1740088608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1013958065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-9777",
            "fax_number": "716-675-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 RIDGE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243339",
            "telephone_number": "716-675-9777",
            "fax_number": "716-675-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINARDO",
        "first_name": "NEBRIDIO",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "043247-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00020006801",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia L Difranco, P.A.
• Susan Marie Digiacco, RD
• Kevin Digiacomo, PHARM D
• Michael R. Digiacomo, MD
• Laura N Digiulio, PA
• Kathryn Marie Dipasquale, LCSW
• Rhonda Marie Dipronio, MSW
• Eric M Diramio, D.C.
• Mary Carolyn Divita, OTR
• Dobe Mobility Assessments

• Oral and Maxillofacial Pathology Dentistry in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Oral and Maxillofacial Pathology Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.