Individual provider Active NPI

Ronald Lewitt Daymon, D.D.S., M.S.

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1073643243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046598 Issued in NY
Practice address
1295 Portland Ave
Suite 21
Rochester, NY 14621-2731
Phone
(585) 342-8050
Fax
(585) 342-9024
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 046598 NY Primary

Addresses

Primary practice location

1295 Portland Ave
Suite 21
Rochester, NY 14621-2731

Mailing address

1295 Portland Ave
Suite 21
Rochester, NY 14621-2731
Phone (585) 342-8050

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
046598NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073643243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE",
            "address_2": "SUITE 21",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212731",
            "telephone_number": "585-342-8050",
            "fax_number": "585-342-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PORTLAND AVE",
            "address_2": "SUITE 21",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212731",
            "telephone_number": "585-342-8050",
            "fax_number": "585-342-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYMON",
        "first_name": "RONALD",
        "middle_name": "LEWITT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046598",
            "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 Jul 8, 2007; 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.