Individual provider Active NPI

Frank Leo Graziano Jr., DDS

  • Endodontics
  • Williamsville, NY
National Provider Identifier
1114234598
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
035058 Issued in NY
Practice address
8201 Main St
Suite 5
Williamsville, NY 14221-6046
Phone
(716) 630-9999
Fax
(716) 630-6677
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 035058 NY Primary

Addresses

Primary practice location

8201 Main St
Suite 5
Williamsville, NY 14221-6046

Mailing address

8201 Main St
Suite 5
Williamsville, NY 14221-6046
Phone (716) 630-9999

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
I20160602001081 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7012207152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035058NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Graziano & Tagouri LLP Endodontics Past Accepting new patients
Western New York Endodontics Endodontics PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1114234598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-630-9999",
            "fax_number": "716-630-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-630-9999",
            "fax_number": "716-630-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "FRANK",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "035058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.