Organization Active NPI

Erie Canal Dental PLLC

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1760091763
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIE CANAL DENTAL PLLC
Practice address
91 Erie Canal Dr Ste a
Rochester, NY 14626-4603
Phone
(585) 754-2250
NPI assigned
Jul 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Authorized official

Name
Dr. Eric Benson, DDSNPI 1093830119
Title
Sole Member
Phone
(415) 694-0819

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

91 Erie Canal Dr Ste a
Rochester, NY 14626-4603

Mailing address

6 Skidmore Dr
Spencerport, NY 14559-9535
Phone (415) 694-0819

National Provider Directory

National Provider Directory

Locations

91 Erie Canal Dr
Ste A
Rochester, NY 14626
Phone (585) 720-0630

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": "1595721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595721600000",
    "number": "1760091763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SKIDMORE DR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599535",
            "telephone_number": "415-694-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ERIE CANAL DR STE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264603",
            "telephone_number": "585-754-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE CANAL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "415-694-0819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jul 26, 2020; 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.