Individual provider Active NPI

Michael Daly, D.D.S.

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1811440670
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059275 Issued in NY
Practice address
1950 S Clinton Ave
Rochester, NY 14618-5620
Phone
(914) 523-7768
NPI assigned
Jul 28, 2016
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 059275 NY Primary

Addresses

Primary practice location

1950 S Clinton Ave
Rochester, NY 14618-5620

Mailing address

1950 S Clinton Ave
Rochester, NY 14618-5620
Phone (914) 523-7768

Other practice location 1

1901 Lac De Ville Blvd
Rochester, NY 14618-5660
Phone (914) 523-7768

Other practice location 2

25 Holden St Unit 2431
Providence, RI 02908-5798
Phone (914) 523-7768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059275NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1811440670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "914-523-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "914-523-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Lac De Ville Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185660",
            "country_code": "US",
            "telephone_number": "914-523-7768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Holden St Unit 2431",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029085798",
            "country_code": "US",
            "telephone_number": "914-523-7768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059275",
            "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 Mar 22, 2024; 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.