Organization Active NPI

Michael S McCormick

  • General Practice Dentistry
  • East Aurora, NY
National Provider Identifier
1023209574
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047306 Issued in NY
Legal business name
MICHAEL S MCCORMICK
Practice address
33 Center St
East Aurora, NY 14052-2244
Phone
(716) 652-1140
Fax
(716) 655-4182
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Michael S McCormick, DMD, LLCNPI 1780796177
Title
Owner
Phone
(716) 652-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047306 NY Primary

Addresses

Primary practice location

33 Center St
East Aurora, NY 14052-2244

Mailing address

33 Center St
East Aurora, NY 14052-2244
Phone (716) 652-1140

National Provider Directory

National Provider Directory

Locations

33 Center St
East Aurora, NY 14052
Phone (716) 652-1140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1023209574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CENTER ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522244",
            "telephone_number": "716-652-1140",
            "fax_number": "716-655-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CENTER ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522244",
            "telephone_number": "716-652-1140",
            "fax_number": "716-655-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S MCCORMICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-652-1140",
        "authorized_official_credential": "DMD, LLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.