Organization Active NPI

Preston Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairport, NY
National Provider Identifier
1477947786
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
052380-1 Issued in NY
Legal business name
PRESTON ORTHODONTICS, PLLC
Practice address
2154 Fairport Nine Mile Point Road
Fairport, NY 14450
Phone
(585) 880-5520
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Janis P Preston, DDSNPI 1669698593
Title
Orthodontist/Owner
Phone
(585) 880-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 052380-1 NY Primary

Addresses

Primary practice location

2154 Fairport Nine Mile Point Road
Fairport, NY 14450

Mailing address

2154 Fairport Nine Mile Point Road
Fairport, NY 14450
Phone (585) 880-5520

Other identifiers 1

IdentifierTypeStateIssuer
1669698593OtherNYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2154 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 364-1567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1477947786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 FAIRPORT NINE MILE POINT ROAD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-880-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 FAIRPORT NINE MILE POINT ROAD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-880-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "585-880-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "052380-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL  NPI",
            "identifier": "1669698593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.