Patrick Jeffrey Bastow, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030804-1 Issued in NY

Practice address

400 Fort Hill Ave
Canandaigua, NY 14424-1159

Phone

(585) 393-7175

Fax

(585) 393-7195

NPI assigned

Jun 10, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1417998261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ONTARIO ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721139",
            "telephone_number": "585-624-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FORT HILL AVE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241159",
            "telephone_number": "585-393-7175",
            "fax_number": "585-393-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTOW",
        "first_name": "PATRICK",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Heberle Barnes, D.C,
• Raymond Barrett, LPC, LMHC
• David W. Barszewski, LCSW-R; CASAC
• Kristine A Barszewski, LCSW-R
• Gregory Allen Bartholomew
• Kelly Gibson Bateman
• David Emil Baum, M.D.
• Barbara S Bayley, BA, CASAC
• Geraldine Marie Beach, R.N.
• Theresa Marie Beach, LCSW R

• General Practice Dentistry in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.