Jonathan Adler, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JONATHAN ADLER, DDS, PLLC

Doing business as

Spruce Grove Dental

Practice address

300 Glenmose Rd Ste 301
Fairport, NY 14450-3881

Phone

(585) 513-2663

NPI assigned

Nov 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Adler, DDSNPI 1144595869

Title

General Dentist

Phone

(585) 513-2663

Specialties & licenses 1

Addresses

Other names 1

• Spruce Grove Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan James Adler, DDS

  • Dentist
  • Palmyra, NY
  • NPI 1144595869
  NPD Authorized official

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1295558807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLENMOSE RD STE 301",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503881",
            "telephone_number": "585-513-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GLENMOSE RD STE 301",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503881",
            "telephone_number": "585-513-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN ADLER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "585-513-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John W. Lepore DDS PLLC
• Abigail Castle Baldwin John, DMD
• Safphire Elizabeth Johnson
• Travara Johnson, LPN
• Wallace E Johnson, MD
• Jonathan L Donner DC PC
• Kathryn Jones, PHARMD
• April Jordan, RN
• Donnah Marie Jordan, REGISTERED NURSE
• Joseph T Loverdi DDS PLLC

• Dental Clinic/Center in Fairport, NY
• Providers in Fairport, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.