Organization Active NPI

Eastman Institute for Oral Health

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1023490257
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EASTMAN INSTITUTE FOR ORAL HEALTH
Practice address
60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046
Phone
(310) 739-5718
NPI assigned
Jun 24, 2015
Organization subpart
Yes
Parent organization
UNIVERSITY OF ROCHESTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mrs. Vanessa Buckholz
Title
Registrar
Phone
(585) 275-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046

Mailing address

60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046
Phone (310) 739-5718

Other names 1

  • Eastman dental center Former legal business name

National Provider Directory

National Provider Directory
Part of
University of Rochester Strong Memorial Hospital

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1023490257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CRITTENDEN BLVD APT 917",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204046",
            "telephone_number": "310-739-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CRITTENDEN BLVD APT 917",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204046",
            "telephone_number": "310-739-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMAN INSTITUTE FOR ORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ROCHESTER",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "REGISTRAR",
        "authorized_official_telephone_number": "585-275-9801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastman dental center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.