Individual provider Active NPI

Aaron Gerald Acres, D.M.D.

  • General Practice Dentistry
  • Potsdam, NY
National Provider Identifier
1780815902
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054490 Issued in NY
Practice address
83 Market St
Potsdam, NY 13676-1751
Phone
(315) 265-3377
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054490 NY Primary

Addresses

Primary practice location

83 Market St
Potsdam, NY 13676-1751

Mailing address

83 Market St
Potsdam, NY 13676-1751
Phone (315) 723-3282

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615002320 NY Order and Referring Only - DentistPractitioner - Dentist 5294026654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054490NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Terence M Reed DDS PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1780815902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MARKET ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761751",
            "telephone_number": "315-723-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MARKET ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761751",
            "telephone_number": "315-265-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACRES",
        "first_name": "AARON",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.