Individual provider Active NPI

Alessandro Geminiani, DDS, MS

  • Periodontics
  • Rochester, NY
National Provider Identifier
1083856124
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
056052 Issued in NY
Practice address
2052 Clinton Ave S
Rochester, NY 14618-5703
Phone
(585) 244-3337
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 056052 NY Primary

Addresses

Primary practice location

2052 Clinton Ave S
Rochester, NY 14618-5703

Mailing address

16 Whitecliff Dr
Pittsford, NY 14534-2928
Phone (585) 451-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000915 NY Order and Referring Only - DentistPractitioner - Dentist 5597077180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056052NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Dentistry, PLLC Past Accepting new patients
Sci Anesthesia 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1083856124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WHITECLIFF DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342928",
            "telephone_number": "585-451-9978",
            "fax_number": "585-851-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185703",
            "telephone_number": "585-244-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMINIANI",
        "first_name": "ALESSANDRO",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "056052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.