Active NPI
Bedant Chakraborty
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1447028683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 000147-01
- Practice address
- 625 Elmwood Ave
Rochester, NY 14620-2913 - Phone
- (531) 301-7283
- NPI assigned
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 000147-01 | NY | Primary |
Addresses
Primary practice location
625 Elmwood Ave
Rochester, NY 14620-2913
Mailing address
243 Quinby Rd Apt B
Rochester, NY 14623-1264
Phone (531) 301-7283
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250609001187 | NY | Order and Referring Only - Dentist | 3375053499 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000147-01 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1447028683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 QUINBY RD APT B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231264",
"telephone_number": "531-301-7283"
},
{
"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": "531-301-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRABORTY",
"first_name": "BEDANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "000147-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.