NPIMap

Organization Active NPI

Kenton Family Care Center

  • Primary Care Clinic/Center
  • Tonawanda, NY
National Provider Identifier
1821263518
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KENTON FAMILY CARE CENTER
Practice address
300 Two Mile Creek Rd
Tonawanda, NY 14150-6618
Phone
(716) 447-6450
NPI assigned
Apr 24, 2008
Organization subpart
Yes
Parent organization
KENMORE MERCY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Irina Volkova
Title
MD
Phone
(716) 447-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

300 Two Mile Creek Rd
Tonawanda, NY 14150-6618

Mailing address

300 Two Mile Creek Rd
Tonawanda, NY 14150-6618
Phone (716) 447-6450

National Provider Directory

National Provider Directory
Tax ID family
Ellicott Creek Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1821263518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TWO MILE CREEK RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506618",
            "telephone_number": "716-447-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWO MILE CREEK RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506618",
            "telephone_number": "716-447-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON FAMILY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENMORE MERCY HOSPITAL",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "VOLKOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "716-447-6100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.