Organization Active NPI

Batavia Esthetic Dentistry

  • Prosthodontics
  • Batavia, NY
National Provider Identifier
1497946412
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
050656 Issued in NY
Legal business name
BATAVIA ESTHETIC DENTISTRY
Practice address
413 E Main St
Batavia, NY 14020-2437
Phone
(585) 343-1958
Fax
(585) 343-0111
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Vimal Vladimir Frias, D.D.S
Title
Partner
Phone
(585) 343-1958

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 050175 NY
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 050656 NY Primary

Addresses

Primary practice location

413 E Main St
Batavia, NY 14020-2437

Mailing address

413 E Main St
Batavia, NY 14020-2437
Phone (585) 343-1958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1497946412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202437",
            "telephone_number": "585-343-1958",
            "fax_number": "585-343-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202437",
            "telephone_number": "585-343-1958",
            "fax_number": "585-343-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATAVIA ESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "FRIAS",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "VLADIMIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-343-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050175",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "050656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.