NPIMap

Organization Active NPI

Western New York Dental Group,PC

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1104999283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
028528 Issued in NY
Legal business name
WESTERN NEW YORK DENTAL GROUP,PC
Practice address
107 Delaware Ave
Mezzanine Level, Statler Towers
Buffalo, NY 14202-2810
Phone
(716) 854-5543
Fax
(716) 854-5525
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Robert A. Gianadda, D.D.S.NPI 1659360766
Title
Owner
Phone
(716) 854-5543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Western New York Dental Grouppc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

107 Delaware Ave
Buffalo, NY 14202
Phone (716) 854-5543

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 028528 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

107 Delaware Ave
Mezzanine Level, Statler Towers
Buffalo, NY 14202-2810

Mailing address

125 Lawrence Bell Dr
Suite 102
Williamsville, NY 14221-7817
Phone (716) 634-4679

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104999283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAWRENCE BELL DR",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217817",
            "telephone_number": "716-634-4679",
            "fax_number": "716-634-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DELAWARE AVE",
            "address_2": "MEZZANINE LEVEL, STATLER TOWERS",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022810",
            "telephone_number": "716-854-5543",
            "fax_number": "716-854-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK DENTAL GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANADDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-854-5543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.