Niagara Family Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044496 Issued in NY

Legal business name

NIAGARA FAMILY DENTAL, P.C.

Practice address

821 Niagara St
Buffalo, NY 14213-2420

Phone

(716) 883-3664

Fax

(716) 883-0202

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

William Bauer, D.D.S.

Title

Owner

Phone

(716) 883-3664

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1326394404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132420",
            "telephone_number": "716-883-3664",
            "fax_number": "716-883-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132420",
            "telephone_number": "716-883-3664",
            "fax_number": "716-883-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-883-3664",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01388852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle K Nguyen
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• General Practice Dentistry in Buffalo, NY
• Providers in Buffalo, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.