Nancy Mufalli, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

047576-1 Issued in NY

Practice address

5782 Main St Ste 4
Williamsville, NY 14221-8219

Phone

(716) 630-1600

Fax

(716) 204-3589

NPI assigned

Dec 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Nancy Mufalli DDS PC

  • General Practice Dentistry
  • Wmsvl, NY
  • NPI 1619039906
  NPD (past) Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1093136616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 MAIN ST STE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218219",
            "telephone_number": "716-630-1600",
            "fax_number": "716-204-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 MAIN ST STE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218219",
            "telephone_number": "716-630-1600",
            "fax_number": "716-204-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFALLI",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047576-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03696022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Moyer, PH.D
• Brenda Ann Mrkall, ANP-BC
• Rosalba Mucciarella, MD
• Kiersten Elizabeth Mucha, PA
• Colleen J Mucica, LMHC
• Somasekhara Rao Mukkamala, M.D.
• Jeffrey Paul Mullin, M.D.
• Dukhant Singh Multani, M.D.
• Tina Marie Mulvenna, RN
• Rachel Munch, COTA

• Dentist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.