NPIMap

Organization Active NPI

Howard W. Benatovich, D.D.S., PC

  • Periodontics
  • West Seneca, NY
National Provider Identifier
1043729239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
27403 Issued in NY
Legal business name
HOWARD W. BENATOVICH, D.D.S., PC
Practice address
1281 Union Rd
West Seneca, NY 14224-2900
Phone
(716) 675-5166
NPI assigned
Sep 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Julie Koscielny
Title
Office Manager
Phone
(716) 634-7676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 27403 NY Primary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 49544

Addresses

Primary practice location

1281 Union Rd
West Seneca, NY 14224-2900

Mailing address

1281 Union Road
West Seneca, NY 14224
Phone (716) 675-5166

Other practice location 1

531 Farber Lakes Drive
Williamsville, NY 14221-1422
Phone (716) 634-7676

National Provider Directory

National Provider Directory

Locations

1281 Union Rd
West Seneca, NY 14224
Phone (716) 675-3163

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043729239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 UNION ROAD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-675-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242900",
            "telephone_number": "716-675-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Farber Lakes Drive",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142211422",
            "country_code": "US",
            "telephone_number": "716-634-7676",
            "fax_number": "716-634-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOWARD W. BENATOVICH, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOSCIELNY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-634-7676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "27403",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": "49544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.