Individual provider Active NPI

Doron Kochman, DDS

  • Pediatric Dentistry
  • Pittsford, NY
National Provider Identifier
1316933773
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
36119 Issued in NY
Practice address
90 Office Pkwy
Tobey Village Office Park
Pittsford, NY 14534-1749
Phone
(585) 383-0640
Fax
(585) 383-1463
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 36119 NY Primary

Addresses

Primary practice location

90 Office Pkwy
Tobey Village Office Park
Pittsford, NY 14534-1749

Mailing address

90 Office Pkwy
Tobey Village Office Park
Pittsford, NY 14534-1749
Phone (585) 383-0640

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209002211 NY Order and Referring Only - DentistPractitioner - Dentist 2567852338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36119NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316933773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OFFICE PKWY",
            "address_2": "TOBEY VILLAGE OFFICE PARK",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341749",
            "telephone_number": "585-383-0640",
            "fax_number": "585-383-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 OFFICE PKWY",
            "address_2": "TOBEY VILLAGE OFFICE PARK",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341749",
            "telephone_number": "585-383-0640",
            "fax_number": "585-383-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN",
        "first_name": "DORON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "36119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.