Organization Active NPI

Westside Family Dentistry

  • Dentist
  • Rochester, NY
National Provider Identifier
1720459902
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041568 Issued in NY
Legal business name
WESTSIDE FAMILY DENTISTRY
Practice address
2300 Buffalo Rd BLDG 800a
Rochester, NY 14624-1300
Phone
(585) 247-1530
Fax
(585) 612-7447
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Dr. Martin P Lubes, DDS
Title
Owner
Phone
(585) 247-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 041568 NY Primary

Addresses

Primary practice location

2300 Buffalo Rd BLDG 800a
Rochester, NY 14624-1300

Mailing address

2300 Buffalo Rd BLDG 800a
Rochester, NY 14624-1300
Phone (585) 247-1530

National Provider Directory

National Provider Directory

Locations

2300 Buffalo Rd
Bldg 800A
Rochester, NY 14624
Phone (585) 247-1530

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1720459902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 800A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241300",
            "telephone_number": "585-247-1530",
            "fax_number": "585-612-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 800A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241300",
            "telephone_number": "585-247-1530",
            "fax_number": "585-612-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "LUBES",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-247-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041568",
            "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 Oct 13, 2015; 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.