Wny TMD & Orofacial Pain

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

028517 Issued in NY

Legal business name

WNY TMD & OROFACIAL PAIN

Practice address

4134 Seneca St
West Seneca, NY 14224-3044

Phone

(716) 675-5858

Fax

(716) 675-4872

NPI assigned

Aug 7, 2006

Last updated

Aug 22, 2020By 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. Robert Stephen Kull, D. D. S. M. S.NPI 1972512812

Title

President

Phone

(716) 675-5858

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert S Kull, D.D.S., M.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Buffalo, NY
  • NPI 1972512812
  NPD (past) Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821007691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243044",
            "telephone_number": "716-675-5858",
            "fax_number": "716-675-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243044",
            "telephone_number": "716-675-5858",
            "fax_number": "716-675-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY TMD & OROFACIAL PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-675-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S. M. S."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": "028517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH INS",
            "identifier": "4001292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Wise, NP
• Kristin Wisnier
• Sally Ann Witalis, RN
• Wny Gi Connection PLLC
• Wny Rehabilitation Medicine and Pain MGMT LLC
• Wny Wellness Associates, LLC
• Hannah Faith Wojtulski-Capodicasa, DC
• Catherine Wolfley, PT, DPT
• Ross Wolkenbrod
• Marcia C Wood, PSYD

• Prosthetics Case Management in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.