Healthcare Provider Details

I. General information

NPI: 1992184618
Provider Name (Legal Business Name): SEAN MICHAEL NAGLE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E 3RD ST
DUNKIRK NY
14048-2239
US

IV. Provider business mailing address

75 E 3RD ST
DUNKIRK NY
14048-2239
US

V. Phone/Fax

Practice location:
  • Phone: 716-363-6050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5432
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number007059-01
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number056.0000194
License Number StateVT
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901002601
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: