Active NPI
Mesolella Dental PLLC
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1780301952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MESOLELLA DENTAL PLLC
- Practice address
- 2081 W Ridge Rd Ste 204
Rochester, NY 14626-2724 - Phone
- (585) 227-0650
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Mesolella, DDS
- Title
- Dentist/Owner
- Phone
- (585) 794-0096
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2081 W Ridge Rd Ste 204
Rochester, NY 14626-2724
Mailing address
2081 W Ridge Rd Ste 204
Rochester, NY 14626-2724
Phone (585) 227-0650
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659732048 | Medicaid | NY | |
| 1710103825 | Medicaid | NY | |
| 1811488737 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mesolelladental.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2081 W Ridge Rd
Ste 204
Rochester, NY 14626
Phone (585) 227-0650
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rochester, NY
- NPI 1811488737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666828800000",
"number": "1780301952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 W RIDGE RD STE 204",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146262724",
"telephone_number": "585-227-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 W RIDGE RD STE 204",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146262724",
"telephone_number": "585-227-0650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESOLELLA DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A",
"authorized_official_last_name": "MESOLELLA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "585-794-0096",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659732048",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710103825",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811488737",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mesolelladental.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2081 W Ridge Rd Ste 204",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146262724",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 27, 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.