Organization Active NPI

William Wolfersberger DMD PC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1558668665
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
030065 Issued in NY
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

Updated by the provider on Feb 25, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194867010OtherNYMDICARE TYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.