Organization Active NPI

John W. Lepore DDS PLLC

  • Endodontics
  • Fairport, NY
National Provider Identifier
1295945392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
044379 Issued in NY
Legal business name
JOHN W. LEPORE DDS PLLC
Practice address
815 Ayrault Rd
Fairport, NY 14450-8962
Phone
(585) 381-2200
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John William Lepore, DDSNPI 1720298813
Title
Owner Dentist
Phone
(585) 381-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 044379 NY Primary

Addresses

Primary practice location

815 Ayrault Rd
Fairport, NY 14450-8962

Mailing address

815 Ayrault Rd
Fairport, NY 14450-8962
Phone (585) 381-2200

National Provider Directory

National Provider Directory

Locations

815 Ayrault Rd
Fairport, NY 14450
Phone (585) 223-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295945392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 AYRAULT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508962",
            "telephone_number": "585-381-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 AYRAULT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508962",
            "telephone_number": "585-381-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. LEPORE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEPORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "585-381-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "044379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.