Nancy Mufalli DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0475761 Issued in NY

Legal business name

NANCY MUFALLI DDS PC

Practice address

5782 Main Street
Suite 4
Wmsvl, NY 14221

Phone

(716) 630-1600

Fax

(716) 204-3589

NPI assigned

Dec 14, 2006

Last updated

Jul 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Fortunata Mufalli, DDSNPI 1093136616

Title

Dentist Office Owner

Phone

(716) 630-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Mufalli, D.D.S.

  • Dentist
  • Williamsville, NY
  • NPI 1093136616
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1619039906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 MAIN STREET",
            "address_2": "SUITE 4",
            "city": "WMSVL",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-630-1600",
            "fax_number": "716-204-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 MAIN STREET",
            "address_2": "SUITE 4",
            "city": "WMSVL",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-630-1600",
            "fax_number": "716-204-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MUFALLI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "MUFALLI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "FORTUNATA",
        "authorized_official_title_or_position": "DENTIST OFFICE OWNER",
        "authorized_official_telephone_number": "716-630-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0475761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.