Active NPI
Daniel Connors, DDS
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1073261756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 063674
- Practice address
- 1641 East Ave
Rochester, NY 14610-1604 - Phone
- (585) 482-5504
- NPI assigned
- Mar 12, 2022
- Last updated
- Apr 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 063674 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Avenue Dentistry PLLC | Past | 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.
-
- Dental Clinic/Center
- Rochester, NY
- NPI 1669649166
-
- Dental Clinic/Center
- Rochester, NY
- NPI 1932040326
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.