Active NPI
Thomas Zahavi, DMD MS
- Periodontics
- Rochester, NY
National Provider Identifier
1710187620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0535211
- Practice address
- 1815 South Clinton Ave
Suite 510
Rochester, NY 14618 - Phone
- (585) 473-7600
- Fax
- (585) 473-7653
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0535211 | NY | Primary |
Addresses
Primary practice location
1815 South Clinton Ave
Suite 510
Rochester, NY 14618
Mailing address
1815 South Clinton Ave
Suite 510
Rochester, NY 14618
Phone (585) 685-2005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 8, 2015 through Dec 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0535211 | NY | MD | Periodontist |
| 053521 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1710187620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 SOUTH CLINTON AVE",
"address_2": "SUITE 510",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-685-2005",
"fax_number": "585-685-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 SOUTH CLINTON AVE",
"address_2": "SUITE 510",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-473-7600",
"fax_number": "585-473-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHAVI",
"first_name": "THOMAS",
"credential": "DMD MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "0535211",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.