Organization Active NPI

Small to Tall, Dentistry for Children, PLLC

  • Pediatric Dentistry
  • Rochester, NY
National Provider Identifier
1043789639
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMALL TO TALL, DENTISTRY FOR CHILDREN, PLLC
Practice address
3171 Chili Ave Ste 400
Rochester, NY 14624-5440
Phone
(585) 889-1290
Fax
(585) 889-1345
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Alison Mathews Harding, DDS
Title
Member
Phone
(585) 747-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3171 Chili Ave Ste 400
Rochester, NY 14624-5440

Mailing address

3171 Chili Ave Ste 400
Rochester, NY 14624-5440
Phone (585) 889-1290

Other identifiers 3

IdentifierTypeStateIssuer
1366543613OtherNPPES
046302OtherNYNY STATE EDUCATION DEPARTMENT
02558092MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1043789639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-1290",
            "fax_number": "585-889-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-1290",
            "fax_number": "585-889-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TO TALL, DENTISTRY FOR CHILDREN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "MATHEWS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-747-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1366543613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE EDUCATION DEPARTMENT",
            "identifier": "046302",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2018; 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.