Andrew Joseph Dvonch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

048011-1 Issued in NY

Practice address

2425 Clover St
Rochester, NY 14618-4517

Phone

(585) 461-2040

Fax

(585) 473-1747

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013034784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WOODWORTH ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641341",
            "telephone_number": "585-398-7046",
            "fax_number": "585-473-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CLOVER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184517",
            "telephone_number": "585-461-2040",
            "fax_number": "585-473-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVONCH",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048011-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose M Duver, M.D.
• Abigail Duvivier
• Elizabeth Duxbury
• William Duzan, MD
• Nathaniel Dvarishkis, DDS
• Amy C Dvorak, PA-C
• Peter Alan Dvorak, M.D.
• Stephen Dvorin, M.D.
• Robert Dworkin, PH.D.
• Wendy M Dwyer Albano, M.D.

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.