Kenneth Ralph Ronzo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038499 Issued in NY

Practice address

2615 Culver Rd
Suite #200
Rochester, NY 14609-1746

Phone

(585) 467-2745

Fax

(585) 467-5683

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kenneth R, Ronzo, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1053961078
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700899176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SAINT PAUL BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173751",
            "telephone_number": "585-342-9027",
            "fax_number": "585-342-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CULVER RD",
            "address_2": "SUITE #200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091746",
            "telephone_number": "585-467-2745",
            "fax_number": "585-467-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONZO",
        "first_name": "KENNETH",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS PROVIDER I",
            "identifier": "7692KR",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Roncone, DDS
• Stacey Rone, LCSW
• Chaya Roness, MA/CCC-SLP
• Lucy Chepngeno Rono
• Amanda B Ronzo, MS,RDN,CLC,CDN
• Catherine Rood
• Michael Lyndon Rood, LMSW
• Room to Bloom Therapy Services, LLC
• Claire Rooney
• Patrick John Rooney, M.D.

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.