Organization Active NPI

Alan Litvinov DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1689812687
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050659 Issued in NY
Legal business name
ALAN LITVINOV DDS
Practice address
1740 Culver Rd
Rochester, NY 14609-3836
Phone
(585) 200-4831
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Alan Litvinov, DDSNPI 1558496315
Title
Doctor
Phone
(585) 377-1487

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 050659 NY Primary

Addresses

Primary practice location

1740 Culver Rd
Rochester, NY 14609-3836

Mailing address

126 Jackson Road Ext
Penfield, NY 14526-1265
Phone (585) 377-1487

Other identifiers 1

IdentifierTypeStateIssuer
02556912MedicaidNY

National Provider Directory

National Provider Directory

Locations

1740 Culver Rd
Rochester, NY 14609
Phone (585) 200-4831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1689812687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 JACKSON ROAD EXT",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261265",
            "telephone_number": "585-377-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093836",
            "telephone_number": "585-200-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN LITVINOV DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "LITVINOV",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "585-377-1487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556912",
            "state": "NY"
        }
    ],
    "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 Jan 28, 2009; 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.