Individual provider Active NPI

Salvatore Ortolano, D.D.S.

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1043353741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045845-1 Issued in NY
Practice address
646 N French Rd
Suite 8
Buffalo, NY 14228-2100
Phone
(716) 691-3520
Fax
(716) 691-3742
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045845-1 NY Primary

Addresses

Primary practice location

646 N French Rd
Suite 8
Buffalo, NY 14228-2100

Mailing address

9054 Winding Creek LN
Clarence Center, NY 14032-9381
Phone (716) 741-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000764 NY Order and Referring Only - DentistPractitioner - Dentist 7214230945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045845-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Family Dental General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043353741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 WINDING CREEK LN",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329381",
            "telephone_number": "716-741-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N FRENCH RD",
            "address_2": "SUITE 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282100",
            "telephone_number": "716-691-3520",
            "fax_number": "716-691-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTOLANO",
        "first_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045845-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.