Individual provider Active NPI

Kristin Adair, D.D.S.

  • Pediatric Dentistry
  • Rochester, NY
National Provider Identifier
1386960524
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
056334-1 Issued in NY
Practice address
1875 Hudson Ave
Rochester, NY 14617-5107
Phone
(585) 266-9220
Fax
(585) 266-4878
NPI assigned
Apr 13, 2010
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 056334-1 NY Primary

Addresses

Primary practice location

1875 Hudson Ave
Rochester, NY 14617-5107

Mailing address

1875 Hudson Ave
Rochester, NY 14617-5107
Phone (585) 266-9220

Other names 1

  • Dr. Kristin Bender Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20180816000658 HI Order and Referring Only - DentistPractitioner - Dentist 2466701958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056334-1NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fredonia Pediatric and Adolescent Dentistry PLLC Pediatric Dentistry Current Accepting new patients
Brenner, Levy, Musiker & Weiner, LLP Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.adair.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1386960524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175107",
            "telephone_number": "585-266-9220",
            "fax_number": "585-266-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175107",
            "telephone_number": "585-266-9220",
            "fax_number": "585-266-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BENDER",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.