Organization Active NPI

Joseph V. Quevedo D.D.S.. P.C.

  • Endodontics
  • Rochester, NY
National Provider Identifier
1043811664
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JOSEPH V. QUEVEDO D.D.S.. P.C.
Practice address
20 Hagen Dr Ste 310
Rochester, NY 14625-2664
Phone
(585) 248-2200
Fax
(585) 248-2208
NPI assigned
Nov 2, 2020
Organization subpart
Yes
Parent organization
JOSEPH V. QUEVEDO, D.D.S., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Jennifer Anliker
Title
Office Manager
Phone
(585) 248-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

20 Hagen Dr Ste 310
Rochester, NY 14625-2664

Mailing address

20 Hagen Dr Ste 310
Rochester, NY 14625-2664
Phone (585) 248-2200

Other names 1

  • Quevedo Endodontics & Implantology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@quevedorootcanal.com Direct

National Provider Directory

National Provider Directory
Part of
Joseph V Quevedo DDS PC

Locations

20 Hagen Dr
Ste 310
Rochester, NY 14625
Phone (585) 248-2200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1043811664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-248-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-248-2200",
            "fax_number": "585-248-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V. QUEVEDO D.D.S.. P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH V. QUEVEDO, D.D.S., P.C.",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-248-2200"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@quevedorootcanal.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Hagen Dr Ste 310",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146252664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Quevedo Endodontics & Implantology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2020; 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.