Active NPI
Parkwood Dental Care, P.C.
- Dentist
- Rochester, NY
National Provider Identifier
1821390147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042165-1
- Legal business name
- PARKWOOD DENTAL CARE, P.C.
- Practice address
- 3120 W Ridge Rd
Store B
Rochester, NY 14626-3213 - Phone
- (585) 225-1010
- NPI assigned
- Nov 18, 2010
- 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. Sam K Khalil, DDS
- Title
- President
- Phone
- (585) 225-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 042165-1 | NY | Primary |
Addresses
Primary practice location
3120 W Ridge Rd
Store B
Rochester, NY 14626-3213
Mailing address
3120 W Ridge Rd
Store B
Rochester, NY 14626-3213
Phone (585) 225-1010
National Provider Directory
National Provider Directory- Tax ID family
- Parkwood Dental Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Webster, NY
- NPI 1790086189
Locations
3120 W Ridge Rd
#B
Rochester, NY 14626
Phone (585) 225-1010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290038400000",
"number": "1821390147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 W RIDGE RD",
"address_2": "STORE B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263213",
"telephone_number": "585-225-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 W RIDGE RD",
"address_2": "STORE B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263213",
"telephone_number": "585-225-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWOOD DENTAL CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-225-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "042165-1",
"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 Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.