Rebecca Ashley Loring Aranov, DDS

Individual provider Active NPI General Practice Dentistry · Williamson, NY

NPI 1851968069 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1851968069
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
062633 (NY)
Practice address
6127 Maple Ave
Williamson, NY 14589-8001
Phone
(315) 589-2813
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230119002569 NY Order and Referring Only - Dentist
Practitioner - Dentist
4385015866

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Dental Care General Practice Current
since Aug 28, 2022
Accepting new patients
Michael a. Herbert. DDS General Practice Past
since Aug 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062633 NY Yes

Addresses

Primary practice location

6127 Maple Ave
Williamson, NY 14589-8001

Mailing address

6127 Maple Ave
Williamson, NY 14589-8001
Phone (315) 589-2813

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2024.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1851968069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 MAPLE AVE",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145898001",
            "telephone_number": "315-589-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 MAPLE AVE",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145898001",
            "telephone_number": "315-589-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANOV",
        "first_name": "REBECCA",
        "middle_name": "ASHLEY LORING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, NY

All providers in Williamson, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.