Azita Anissi DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AZITA ANISSI DDS

Practice address

121 Sullys Trail Suite 1
Pittsford, NY 14534

Phone

(585) 267-7745

Fax

(585) 267-7748

NPI assigned

Dec 11, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azita Anissi, DDSNPI 1851326136

Title

Dentist

Phone

(585) 267-7745

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azita Anissi, D.D.S.

  • Dentist
  • Pittsford, NY
  • NPI 1851326136
  NPD (past) Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1619448990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SULLYS TRAIL SUITE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-267-7745",
            "fax_number": "585-267-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SULLYS TRAIL SUITE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-267-7745",
            "fax_number": "585-267-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZITA ANISSI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ANISSI",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "585-267-7745",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deborah R Apter
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• Jeffrey A. Arigo, DDS, MS
• Attune Chiropractic PLLC
• Mariane Bafile, DMD
• Jennifer June Baker
• Jose Balseca, D.C.
• Victoria Banghart
• Alicia Louise Barnes, D.C.

• General Practice Dentistry in Pittsford, NY
• Providers in Pittsford, 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 Dec 11, 2018; 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.