Individual provider Active NPI

Lucas James Resnick, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1619863966
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065605 Issued in NY
Practice address
3950 Dewey Ave
Rochester, NY 14616-2520
Phone
(585) 865-0684
Fax
(585) 865-3212
NPI assigned
Jun 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065605 NY Primary

Addresses

Primary practice location

3950 Dewey Ave
Rochester, NY 14616-2520

Mailing address

3950 Dewey Ave
Rochester, NY 14616-2520
Phone (585) 865-0684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Vamc CurrentSince Jun 15, 2025 Accepting new patients

Locations

41 Castle Point Rd
Wappingers Falls, NY 12590
Phone 8458312000 ext. 4098

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1619863966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162520",
            "telephone_number": "585-865-0684",
            "fax_number": "585-865-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162520",
            "telephone_number": "585-865-0684",
            "fax_number": "585-865-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "LUCAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.