Active NPI
William Wolfersberger DMD PC
- Dental Clinic/Center
- Brooklyn, NY
National Provider Identifier
1558668665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 030065
- Legal business name
- WILLIAM WOLFERSBERGER DMD PC
- Practice address
- 655 76TH St
Brooklyn, NY 11209-3325 - Phone
- (718) 748-5765
- Fax
- (718) 748-5730
- NPI assigned
- Feb 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Brower
- Title
- Office Manager
- Phone
- (718) 748-5765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 030065 | NY | Primary |
Addresses
Primary practice location
655 76TH St
Brooklyn, NY 11209-3325
Mailing address
655 76TH St
Brooklyn, NY 11209-3325
Phone (718) 748-5765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194867010 | Other | NY | MDICARE TYPE 1 NPI |
National Provider Directory
National Provider DirectoryLocations
655 76th St
Brooklyn, NY 11209
Phone (718) 748-5765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1558668665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 76TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093325",
"telephone_number": "718-748-5765",
"fax_number": "718-748-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 76TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093325",
"telephone_number": "718-748-5765",
"fax_number": "718-748-5730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM WOLFERSBERGER DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "BROWER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "718-748-5765"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "030065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDICARE TYPE 1 NPI",
"identifier": "1194867010",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.