Active NPI
Kaylee Mecca, D.M.D.
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1265971113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06088901
- Practice address
- 2104 E Henrietta Rd
Rochester, NY 14623-4518 - Phone
- (585) 334-8350
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06088901 | NY | Primary |
| General Practice Dentistry | 1223G0001X | DN22729 | FL |
Addresses
Primary practice location
2104 E Henrietta Rd
Rochester, NY 14623-4518
Mailing address
89 Staglen Dr
Henrietta, NY 14467-9011
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22729 | FL | MD | General Practice Dentistry |
| 06088901 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Livingston DDS PC | General Practice | Past | Accepting new patients |
| Cornerstone Dental of Henrietta | General Practice | 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.
-
- General Practice Dentistry
- Rochester, NY
- NPI 1235637141
-
- General Practice Dentistry
- Rochester, NY
- NPI 1215364583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1265971113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 STAGLEN DR",
"city": "HENRIETTA",
"state": "NY",
"postal_code": "144679011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 E HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234518",
"telephone_number": "585-334-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCA",
"first_name": "KAYLEE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "06088901",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN22729",
"primary": false
}
],
"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 Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.