Individual provider Active NPI

Jack Caton, D.D.S.

  • Periodontics
  • Rochester, NY
National Provider Identifier
1265541858
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
029924 Issued in NY
Practice address
2081 Ridge Rd W
Rochester, NY 14626-2724
Phone
(585) 225-4600
Fax
(585) 225-6671
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 029924 NY Primary

Addresses

Primary practice location

2081 Ridge Rd W
Rochester, NY 14626-2724

Mailing address

2081 Ridge Rd W
Rochester, NY 14626-2724
Phone (585) 225-4600

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
I20140418000044 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507098910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029924NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1265541858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 RIDGE RD W",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-225-4600",
            "fax_number": "585-225-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 RIDGE RD W",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-225-4600",
            "fax_number": "585-225-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATON",
        "first_name": "JACK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "029924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.