Sandro R Popelka, DDS, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50 052259 Issued in NY

Practice address

3200 West St
Canandaigua, NY 14424-1722

Phone

(585) 394-5800

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Calm Dental PC

  • Dentist
  • Geneseo, NY
  • NPI 1629331228
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1164514378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELKA",
        "first_name": "SANDRO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50 052259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Louise Pisello, O.D.
• Timothy David Pitler, M.D.
• Tyler Pocchiari
• Cynthia Poole, PSYD
• Nicolette Pope
• Mindy Porteus, LPN
• Beth Ann Potter, R.N.F.A.
• Jill K Potts, M.D.
• Andrew Powers, M.D.
• Charles Robert Pratt, DDS

• General Practice Dentistry in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.