Active NPI
North Tonawanda Family Dentistry PC
- General Practice Dentistry
- North Tonawanda, NY
National Provider Identifier
1730403924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 057366
- Legal business name
- NORTH TONAWANDA FAMILY DENTISTRY PC
- Practice address
- 301 Meadow Dr
North Tonawanda, NY 14120-2819 - Phone
- (716) 692-2273
- Fax
- (716) 692-2211
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Michelle Vacanti
- Title
- Patient Care Coordinator
- Phone
- (716) 692-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 057366 | NY | Primary |
Addresses
Primary practice location
301 Meadow Dr
North Tonawanda, NY 14120-2819
Mailing address
301 Meadow Dr
North Tonawanda, NY 14120-2819
Phone (716) 692-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03217594 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412035200000",
"number": "1730403924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEADOW DR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202819",
"telephone_number": "716-692-2273",
"fax_number": "716-692-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEADOW DR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202819",
"telephone_number": "716-692-2273",
"fax_number": "716-692-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TONAWANDA FAMILY DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2014-09-30",
"status": "A",
"authorized_official_last_name": "VACANTI",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PATIENT CARE COORDINATOR",
"authorized_official_telephone_number": "716-692-2273"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "057366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03217594",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Tonawanda, NY
- Niagara Sterling Cottage Operator, Inc. (Brookdale Niagara Memory Care)
- Kelly Theresa Nichols
- Amber Michelle Nocek, PA-C
- North Gate Health Care Facility LLC
- North Tonawanda City School District
- North Tonawanda Schools
- Kyle Elizabeth Nottis, SLP
- Sarah Novotny, DC
- Nysarc Niagara County Chapter (Opportunities Unlimited of Niagara)
- Nysarc, Inc. Cattaraugus-Niagara County Chapter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.