Active NPI
Thomas John Pulvino Jr., DMD
- Dentist
- Niagara Falls, NY
National Provider Identifier
1255453999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30998
- Practice address
- 746 Main St
Niagara Falls, NY 14301 - Phone
- (716) 284-9986
- Fax
- (716) 284-8111
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30998 | NY | Primary |
Addresses
Primary practice location
746 Main St
Niagara Falls, NY 14301
Mailing address
746 Main St
Niagara Falls, NY 14301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30998 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255453999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 MAIN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "14301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 MAIN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "14301",
"telephone_number": "716-284-9986",
"fax_number": "716-284-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULVINO",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "30998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.