Lewis County Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LEWIS COUNTY ORTHODONTICS

Practice address

91 Lakes Rd Ste 4
Monroe, NY 10950-2694

Phone

(845) 562-2063

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Karmie Wiley

Title

Financial Coordinator

Phone

(315) 336-6380

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Mary Newton, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rome, NY
  • NPI 1013790666
  NPD
• Nimesh Patel, D.M,D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irving, TX
  • NPI 1396090858
  NPD
• Richard J Klockowski, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rome, NY
  • NPI 1871600932
  NPD (past)
• Christopher A Canizares

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
  • NPI 1124307426
  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1831865583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W LIBERTY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405744",
            "telephone_number": "845-562-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LAKES RD STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502694",
            "telephone_number": "845-562-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Old Hill Temple Rd",
            "address_purpose": "LOCATION",
            "city": "Vails Gate",
            "state": "NY",
            "postal_code": "12584",
            "country_code": "US",
            "telephone_number": "845-562-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEWIS COUNTY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KARMIE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "315-336-6380"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda E. Leon, D.M.D.
• Christine C Leoniak, RPH
• Claudia Lepore
• Rebecca Lew, PHD
• Rachel Lewinson
• Hadassah Lieberman
• Lion Analytical
• Douglas Robert Lipman, D.D.S.
• Taryn Nicole Lisa
• Katerina Listopad, ANP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Monroe, NY
• Providers in Monroe, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.