Organization Active NPI

Evan L. Zingaro, DDS, PLLC

  • Dental Clinic/Center
  • North Tonawanda, NY
National Provider Identifier
1841809498
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EVAN L. ZINGARO, DDS, PLLC
Practice address
3448 Niagara Falls Blvd
North Tonawanda, NY 14120-1244
Phone
(716) 807-0999
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Evan ZingaroNPI 1457707739
Title
Managing Owner/Dentist
Phone
(716) 550-3885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3448 Niagara Falls Blvd
North Tonawanda, NY 14120-1244

Mailing address

3448 Niagara Falls Blvd
North Tonawanda, NY 14120-1244

Other names 1

  • Boulevard Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3448 Niagara Falls Blvd
North Tonawanda, NY 14120
Phone (716) 807-0999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1841809498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201244",
            "telephone_number": "716-807-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN L. ZINGARO, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ZINGARO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MANAGING OWNER/DENTIST",
        "authorized_official_telephone_number": "716-550-3885"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.