The Kid'S Dentist, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE KID'S DENTIST, PC

Practice address

7282 Oswego Rd
Liverpool, NY 13090-3719

Phone

(315) 451-6260

Fax

(315) 451-1022

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christopher A Rozhon, DMDNPI 1770924003

Title

Doctor/President

Phone

(315) 451-6260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Alan Rozhon, D.M.D.

  • Pediatric Dentistry
  • Liverpool, NY
  • NPI 1770924003
  NPD (past) Authorized official
• Charu Saini Chaudhery, DDS

  • Dentist
  • Liverpool, NY
  • NPI 1841368610
  NPD (past)
• Robert Douglas Willis, D.D.S.

  • Pediatric Dentistry
  • Liverpool, NY
  • NPI 1700946381
  NPD (past)

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1063871564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903719",
            "telephone_number": "315-451-6260",
            "fax_number": "315-451-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903719",
            "telephone_number": "315-451-6260",
            "fax_number": "315-451-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KID'S DENTIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "ROZHON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "315-451-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03627938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Homestead Teneyck
• Arnold P Teo, M.D.
• Bethany Territo
• Jennifer Lynne Testone
• The Caring Coalition of Central New York
• The Summit Dental Group, PC
• Thomas V Smallman, MD, PLLC
• Crystal Thomas
• Dawn Marie Thomas
• Lanice Thomas, MD

• Dental Clinic/Center in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.