Active NPI
Alan Litvinov DDS
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1689812687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050659
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Litvinov, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02556912 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Penfield, NY
- NPI 1558496315
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.