Active NPI
Adela Planerova, DDS
- Dentist
- Rochester, NY
National Provider Identifier
1356740807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058379
- Practice address
- 625 Elmwood Ave
Rochester, NY 14620-2913 - Phone
- (585) 275-5007
- Fax
- (585) 756-5577
- NPI assigned
- Aug 21, 2014
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 058379 | NY | Primary |
Addresses
Primary practice location
625 Elmwood Ave
Rochester, NY 14620-2913
Mailing address
625 Elmwood Ave
Rochester, NY 14620-2913
Phone (585) 275-5007
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058379 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dental Faculty Practice Group | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rochester, NY
- NPI 1306929013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1356740807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202913",
"telephone_number": "585-275-5007",
"fax_number": "585-756-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202913",
"telephone_number": "585-275-5007",
"fax_number": "585-756-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANEROVA",
"first_name": "ADELA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- Holly Schimpf Place, M.S., CCC-SLP
- George Baker Plain, MD
- Corey James Plakosh
- Dana Plakosh, PHARMD
- Donna Jay Plane, LPN
- Caitlin Plankenhorn, LMSW
- Planned Parenthood of Central and Western New York, Inc
- Planned Parenthood of the Rochester Syracuse Region
- Planned Parenthood of the Rochester/Syracuse Region
- Maya Plant, LCAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.