Individual provider Active NPI

Daniel Connors, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1073261756
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063674 Issued in NY
Practice address
1641 East Ave
Rochester, NY 14610-1604
Phone
(585) 482-5504
NPI assigned
Mar 12, 2022
Last updated
Apr 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 063674 NY Primary

Addresses

Primary practice location

1641 East Ave
Rochester, NY 14610-1604

Mailing address

3118 Elmwood Ave Apt 22
Rochester, NY 14618-2044
Phone (585) 831-6600

Other practice location 1

2273 S Clinton Ave Ste 1
Rochester, NY 14618-2662
Phone (585) 473-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
063674NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Avenue Dentistry PLLC PastSince Apr 13, 2025 Accepting new patients
Park Family Dental, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1073261756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 ELMWOOD AVE APT 22",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182044",
            "telephone_number": "585-831-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101604",
            "telephone_number": "585-482-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2273 S Clinton Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182662",
            "country_code": "US",
            "telephone_number": "585-473-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063674",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2025; 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.