Individual provider Active NPI

Diane A Cirasunda-Slawinowski, DDS

  • Dentist
  • Williamsville, NY
National Provider Identifier
1720202328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049726-1 Issued in NY
Practice address
6480 Main St
Suite 6
Williamsville, NY 14221-5852
Phone
(716) 633-6354
Fax
(716) 633-7252
NPI assigned
Apr 13, 2007
Sex
Female
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
Dentist 122300000X 049726-1 NY Primary

Addresses

Primary practice location

6480 Main St
Suite 6
Williamsville, NY 14221-5852

Mailing address

6480 Main St
Suite 6
Williamsville, NY 14221-5852
Phone (716) 633-6354

Other names 1

  • Dr. Diane A Slawinowski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002288 NY Order and Referring Only - DentistPractitioner - Dentist 9638475254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049726-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720202328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 MAIN ST",
            "address_2": "SUITE 6",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215852",
            "telephone_number": "716-633-6354",
            "fax_number": "716-633-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 MAIN ST",
            "address_2": "SUITE 6",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215852",
            "telephone_number": "716-633-6354",
            "fax_number": "716-633-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRASUNDA-SLAWINOWSKI",
        "first_name": "DIANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049726-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "SLAWINOWSKI",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.