Organization Active NPI

Parkwood Dental Care, P.C.

  • Dentist
  • Rochester, NY
National Provider Identifier
1821390147
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042165-1 Issued in NY
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

Updated by the provider on Nov 18, 2010

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.