Individual provider Active NPI

Alan Giangreco, D.D.S.

  • General Practice Dentistry
  • North Tonawanda, NY
National Provider Identifier
1639193378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037541 Issued in NY
Practice address
292 Meadow Dr
North Tonawanda, NY 14120-2814
Phone
(716) 692-2255
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037541 NY Primary

Addresses

Primary practice location

292 Meadow Dr
North Tonawanda, NY 14120-2814

Mailing address

292 Meadow Dr
North Tonawanda, NY 14120-2814
Phone (716) 692-2255

Other identifiers 3

IdentifierTypeStateIssuer
400057OtherNYIH ID#
455493OtherPAUNITED CONCORDIA ID#
000730205001OtherNYBC/BS OF WNY ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639193378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MEADOW DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202814",
            "telephone_number": "716-692-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MEADOW DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202814",
            "telephone_number": "716-692-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGRECO",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IH ID#",
            "identifier": "400057",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID#",
            "identifier": "455493",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY ID#",
            "identifier": "000730205001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.