Active NPI
Michael S McCormick
- General Practice Dentistry
- East Aurora, NY
National Provider Identifier
1023209574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael S McCormick, DMD, LLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- East Aurora, NY
- NPI 1780796177
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.