Diane Marie Witczak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053308 Issued in NY

Practice address

2500 Kensington Ave
Amherst, NY 14226-4927

Phone

(716) 839-1700

NPI assigned

Jan 19, 2007

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aesthetic Associates Centre Management LLC

  • Plastic Surgery Physician
  • Amherst, NY
  • NPI 1841143336
  NPD (past)
• Samuel Shatkin Jr MD PLLC

  • Ambulatory Surgical Clinic/Center
  • Amherst, NY
  • NPI 1841436995
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1487707634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264927",
            "telephone_number": "716-839-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264927",
            "telephone_number": "716-839-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCZAK",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winning Smiles Adult Dentistry PLLC
• Winning Smiles Pediatric Dentistry
• Pamela H Wisniewski, PT
• Richard B Wisniewski, RPH
• Suzanne June Wisniewski
• Tyler Witek
• Qiana Withers, FNP
• Jennifer Witkin, MHC-P
• Rebecca L Witter, AUD
• Kimberly Marie Wnek Bandura, COMS

• General Practice Dentistry in Amherst, NY
• Providers in Amherst, 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 Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.