Organization Active NPI

Rochester Family Dentistry LLC

  • Dental Clinic/Center
  • Rochester, IN
National Provider Identifier
1649769159
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12011491A Issued in IN
Legal business name
ROCHESTER FAMILY DENTISTRY LLC
Practice address
1014 Madison St
Rochester, IN 46975-1830
Phone
(520) 907-9383
NPI assigned
May 10, 2018
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Anne Sy, DDSNPI 1548578495
Title
Owner
Phone
(520) 907-9383

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
Dental Clinic/Center 261QD0000X 12011491A IN Primary

Addresses

Primary practice location

1014 Madison St
Rochester, IN 46975-1830

Mailing address

2209 Poets Dr
Rochester, IN 46975-9011
Phone (520) 907-9383

National Provider Directory

National Provider Directory

Locations

1014 Madison St
Rochester, IN 46975
Phone (520) 907-9383

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1649769159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 POETS DR",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759011",
            "telephone_number": "520-907-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MADISON ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751830",
            "telephone_number": "520-907-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-907-9383",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.