Anthony C Shideler DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

050000-1 Issued in NY

Legal business name

ANTHONY C SHIDELER DDS PLLC

Practice address

67 W Main St
Honeoye Falls, NY 14472-1130

Phone

(585) 624-2910

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Curtis Shideler, D.D.S.

Title

Member

Phone

(585) 624-2910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1164609848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721130",
            "telephone_number": "585-624-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721130",
            "telephone_number": "585-624-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY C SHIDELER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "SHIDELER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-624-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050000-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.