Kevin D Nowicki, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

054418 Issued in NY

Practice address

1630 Maple Rd Ste 400
Williamsville, NY 14221-3660

Phone

(716) 568-2273

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1679735377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MAPLE RD",
            "address_2": "#400",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-568-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD STE 400",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213660",
            "telephone_number": "716-568-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Ellicott St",
            "address_2": "Unit 23",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031500",
            "country_code": "US",
            "telephone_number": "716-319-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Victor Norton, LCSWR
• Janet Ruth Norton, RN
• Anthony G Notino, MD
• Amanda Notte
• Novelli Engl Chiropractic, PLLC
• Melissa Joyce Nowicki, P.A.
• Brianna L Nuttle, PA
• Lisa A. Nuwer, PT,CHT
• Juliette Joy Nwachukwuu, MD
• Patricia Nwokolo, LPN

• Dentist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.