Williamsville Orthopedic Surgery,PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

137730 Issued in NY

Legal business name

WILLIAMSVILLE ORTHOPEDIC SURGERY,PC

Practice address

15 S Forest Rd
Williamsville, NY 14221-6425

Phone

(716) 631-3041

Fax

(716) 631-5380

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R Wild, MD

Title

President

Phone

(716) 631-3041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285855536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-631-3041",
            "fax_number": "716-631-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-631-3041",
            "fax_number": "716-631-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE ORTHOPEDIC SURGERY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-631-3041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "137730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsville Family Dentistry P.C.
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• Briana Marie Willick

• Specialist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Specialist in New York

• 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.