Mary Ann Panara DDS and Jeffrey P Panara DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043442 Issued in NY

Legal business name

MARY ANN PANARA DDS AND JEFFREY P PANARA DDS

Practice address

83 S Main St
Fairport, NY 14450-2161

Phone

(585) 223-9323

Fax

(585) 223-0702

NPI assigned

Jun 2, 2017

Organization subpart

No

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

Authorized official

Name

Marry Ann Panara, DDS

Title

Owner/Dentist

Phone

(585) 223-9323

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Fairport Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey P Panara, DDS

  • General Practice Dentistry
  • Fairport, NY
  • NPI 1457435570
  NPD (past)
• Mary Ann Panara, DDS

  • General Practice Dentistry
  • Fairport, NY
  • NPI 1932283058
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770011728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502161",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502161",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN PANARA DDS AND JEFFREY P PANARA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANARA",
        "authorized_official_first_name": "MARRY ANN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "585-223-9323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044604",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043442",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "044604",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "043442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "7040",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "7239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairport Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairport Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Elizabeth Marciano
• Christina P Marletta, PHARMD
• Debra J Marshall
• Katrina Mackenzie Martin, MS-CCL/SLP
• Izabelle Ariannah Martinez
• Mary Cariola Children'S Center
• Mary Cariola Children'S Center, Inc.
• Elizabeth Mascitti
• Karen Maskens
• James M Mason, MD

• General Practice Dentistry in Fairport, NY
• Providers in Fairport, 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 21, 2022; 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.