Organization Active NPI

Erie Canal Endodontics, PLLC

  • Endodontics
  • Williamsville, NY
National Provider Identifier
1205534773
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ERIE CANAL ENDODONTICS, PLLC
Practice address
1321 Millersport Hwy Ste 202
Williamsville, NY 14221-2900
Phone
(716) 612-3636
Fax
(716) 612-3636
NPI assigned
Feb 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Katherine Lynn Pauly, DDS, MSDNPI 1215381009
Title
Owner/ Endodontist
Phone
(716) 612-3636

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

1321 Millersport Hwy Ste 202
Williamsville, NY 14221-2900

Mailing address

1321 Millersport Hwy Ste 202
Williamsville, NY 14221-2900
Phone (716) 612-3636

Other identifiers 1

IdentifierTypeStateIssuer
1215381009OtherNPI

National Provider Directory

National Provider Directory

Locations

4007 Harlem Rd
Snyder, NY 14226
Phone (585) 469-1223

1321 Millersport Hwy
Ste 202
Williamsville, NY 14221
Phone (716) 612-3636

Practitioners & affiliated clinicians

Practitioners 1

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": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1205534773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MILLERSPORT HWY STE 202",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212900",
            "telephone_number": "716-612-3636",
            "fax_number": "716-612-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MILLERSPORT HWY STE 202",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212900",
            "telephone_number": "716-612-3636",
            "fax_number": "716-612-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE CANAL ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ ENDODONTIST",
        "authorized_official_telephone_number": "716-612-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215381009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.