Active NPI
Brian Anthony Pollard, D.D.S.
- General Practice Dentistry
- Liverpool, NY
National Provider Identifier
1285729277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 042892
- Practice address
- 7655 Oswego Rd
Liverpool, NY 13090-2945 - Phone
- (315) 652-6341
- Fax
- (315) 652-2232
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 042892 | NY | Primary |
Addresses
Primary practice location
7655 Oswego Rd
Liverpool, NY 13090-2945
Mailing address
7655 Oswego Rd
Liverpool, NY 13090-2945
Phone (315) 652-6341
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130002237 | NY | Order and Referring Only - Dentist | 2961784863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric M. Holmes, DDS, PLLC | Past | Accepting new patients | |
| Smile Design D.D.S., P.C. | 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
- Liverpool, NY
- NPI 1881789899
-
- Dentist
- Liverpool, NY
- NPI 1336973379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285729277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7655 OSWEGO RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130902945",
"telephone_number": "315-652-6341",
"fax_number": "315-652-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7655 OSWEGO RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130902945",
"telephone_number": "315-652-6341",
"fax_number": "315-652-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "BRIAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "042892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.