Organization Active NPI

Wiktorski Orthodontics PLLC

  • Dental Clinic/Center
  • Webster, NY
National Provider Identifier
1104651934
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WIKTORSKI ORTHODONTICS PLLC
Practice address
1900 Empire Blvd Ste 805
Webster, NY 14580-1934
Phone
(585) 532-7964
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Cody WiktorskiNPI 1326785940
Title
Owner
Phone
(585) 532-7964

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1900 Empire Blvd Ste 805
Webster, NY 14580-1934

Mailing address

114 Jackson Road Ext
Penfield, NY 14526-1239

National Provider Directory

National Provider Directory

Locations

1900 Empire Blvd
Ste 805
Webster, NY 14580
Phone (585) 532-7964

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": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1104651934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JACKSON ROAD EXT",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EMPIRE BLVD STE 805",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801934",
            "telephone_number": "585-532-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIKTORSKI ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "WIKTORSKI",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-532-7964"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.