Individual provider Active NPI

Antonio Calascibetta, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1679026439
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059344 Issued in NY
Practice address
2615 Culver Rd Ste 200
Rochester, NY 14609-1716
Phone
(585) 467-2745
Fax
(585) 467-5683
NPI assigned
Jul 28, 2016
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 059344 NY
General Practice Dentistry 1223G0001X 059344 NY Primary

Addresses

Primary practice location

2615 Culver Rd Ste 200
Rochester, NY 14609-1716

Mailing address

70 Stablegate Dr
Webster, NY 14580-9382
Phone (585) 355-2141

Other practice location 1

625 Elmwood Ave
Box 683
Rochester, NY 14620-2913
Phone (585) 275-8315 ext. 58315

Other practice location 2

21 Willow Pond Way Ste 203
Penfield, NY 14526-2687
Phone (585) 377-1670

Other practice location 3

39 W Main St
Avon, NY 14414-1133
Phone (585) 226-2120

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250613000383 NY Order and Referring Only - DentistPractitioner - Dentist 9234640640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Calascibetta, DDS, PLLC Durable Medical Equipment & Medical Supplies Current Accepting new patients
East Haven General and Implant Dentistry, PLLC General Practice CurrentSince May 18, 2025 Accepting new patients
Kenneth R, Ronzo, DDS General Practice PastSince Sep 15, 2019 Accepting new patients
Terrance J. O'Keefe DDS LLC General Practice Past Accepting new patients

Locations

4178 W Henrietta Rd
Ste B
Rochester, NY 14623
Phone (585) 355-2141

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1679026439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STABLEGATE DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809382",
            "telephone_number": "585-355-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CULVER RD STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091716",
            "telephone_number": "585-467-2745",
            "fax_number": "585-467-5683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave",
            "address_2": "Box 683",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-275-8315 x58315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Willow Pond Way Ste 203",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145262687",
            "country_code": "US",
            "telephone_number": "585-377-1670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "NY",
            "postal_code": "144141133",
            "country_code": "US",
            "telephone_number": "585-226-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALASCIBETTA",
        "first_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "059344",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.