Organization Active NPI

Greater Niagara Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Niagara Falls, NY
National Provider Identifier
1972744167
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
049563 Issued in NY
Legal business name
GREATER NIAGARA ORAL SURGERY, PLLC
Practice address
552 3Rd St
Niagara Falls, NY 14301-1072
Phone
(716) 282-0285
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. Sanil Balkrishna Nigalye, DDS, MD
Title
President
Phone
(716) 830-9935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 049563 NY Primary

Addresses

Primary practice location

552 3Rd St
Niagara Falls, NY 14301-1072

Mailing address

9744 Cobblestone Dr
Clarence, NY 14031-2443
Phone (716) 830-9935

Other identifiers 1

IdentifierTypeStateIssuer
02890600MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1972744167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 COBBLESTONE DR",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312443",
            "telephone_number": "716-830-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 3RD ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011072",
            "telephone_number": "716-282-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NIAGARA ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "NIGALYE",
        "authorized_official_first_name": "SANIL",
        "authorized_official_middle_name": "BALKRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-830-9935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02890600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.