Pakhshan Ghaderi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

059280 Issued in NY

Practice address

625 Elmwood Ave
Rochester, NY 14620-2913

Phone

(585) 275-9801

Fax

(585) 276-1244

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619339611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 170TH ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323505",
            "telephone_number": "347-884-4472"
        },
        {
            "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": "585-275-9801",
            "fax_number": "585-276-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADERI",
        "first_name": "PAKHSHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Joyce Getman, LPN
• Elizabeth Caitlin Gettings, FNP
• Maiya Noelle Getz
• Ann Marie Geyer, RN
• Jillian Geyer
• Yasmin Ghandehari
• Alexis Ghanem Ayoubi, DDS
• Ghanuba Care (Senior Helpers of Greater Rochester)
• Gaurav Gharti-Chhetri, M.D.
• Yasmine Ghattas

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.