Individual provider Active NPI

Alan I Newman, DDS

  • Pediatric Dentistry
  • Rochester, NY
National Provider Identifier
1295941557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
030884 Issued in NY
Practice address
2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355
Phone
(585) 271-4700
Fax
(585) 271-4707
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 030884 NY Primary

Addresses

Primary practice location

2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355

Mailing address

2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355
Phone (585) 271-4700

Other identifiers 1

IdentifierTypeStateIssuer
00426917MedicaidNY

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

LicenseStateTypeSpecialty
030884NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Family Dental Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295941557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-271-4700",
            "fax_number": "585-271-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-271-4700",
            "fax_number": "585-271-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "030884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00426917",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; 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.