Jeffrey P Panara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043442 Issued in NY

Practice address

83 S Main St
Fairport, NY 14450-2134

Phone

(585) 223-9323

Fax

(585) 223-0702

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Ann Panara DDS and Jeffrey P Panara DDS

  • General Practice Dentistry
  • Fairport, NY
  • NPI 1770011728
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457435570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502134",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502134",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARA",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "7239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Ottina
• Holly Ottney, OTR/L
• Painted Post, LLC
• Megan Palanski, LMHC
• Erin Taylor Palma, RDN CDN CDE HERBLST
• Mary Ann Panara, DDS
• Vincent Pandolfi, PHD
• Julianne Reeh Parker-Mintz
• Alexis Brea Parker, OTA
• Donna H. Parker, PT

• General Practice Dentistry in Fairport, NY
• Providers in Fairport, 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 8, 2007; 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.

Verify at the official NPI Registry.