Active NPI
Lindsey Behrman
- Pediatric Dentistry
- Pittsford, NY
National Provider Identifier
1710354493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 059669
- Practice address
- 90 Office Pkwy
Pittsford, NY 14534-1749 - Phone
- (585) 673-0795
- NPI assigned
- Aug 28, 2015
- Last updated
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 059669 | NY | Primary |
Addresses
Primary practice location
90 Office Pkwy
Pittsford, NY 14534-1749
Mailing address
90 Office Pkwy
Pittsford, NY 14534-1749
Phone (585) 673-0795
Other practice location 1
1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-3144
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919000467 | NY | Order and Referring Only - Dentist | 8325399090 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059669 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1710354493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341749",
"telephone_number": "585-673-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341749",
"telephone_number": "585-673-0795"
}
],
"practiceLocations": [
{
"address_1": "1455 E Ridge Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "14621",
"country_code": "US",
"telephone_number": "585-922-3144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHRMAN",
"first_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "059669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.