Individual provider Active NPI

Anthony Richard Mesolella, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1811488737
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060455 Issued in NY
Practice address
2081 W Ridge Rd Ste 204
Rochester, NY 14626
Phone
(585) 794-0096
NPI assigned
May 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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 060455 NY Primary

Addresses

Primary practice location

2081 W Ridge Rd Ste 204
Rochester, NY 14626

Mailing address

2081 W Ridge Rd Ste 204
Rochester, NY 14626-2724
Phone (585) 794-0096

Other practice location 1

3495 Bailey Ave
Buffalo, NY 14215-1129
Phone (716) 862-8738

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
060455NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mesolella Dental PLLC General Practice CurrentSince Oct 30, 2022 Accepting new patients

Locations

2081 W Ridge Rd
Ste 204
Rochester, NY 14626
Phone (585) 227-0650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1811488737",
    "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": "585-794-0096"
        },
        {
            "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": "14626",
            "telephone_number": "585-794-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151129",
            "country_code": "US",
            "telephone_number": "716-862-8738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESOLELLA",
        "first_name": "ANTHONY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-26",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060455",
            "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 Aug 9, 2019; 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.