Individual provider Active NPI

Barbora Hnizda Valerio, DDS

  • Dentist
  • Rochester, NY
National Provider Identifier
1861831141
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057416 Issued in NY
Practice address
20 Hagen Dr
Suite 340
Rochester, NY 14625-2666
Phone
(585) 385-2020
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057416 NY Primary

Addresses

Primary practice location

20 Hagen Dr
Suite 340
Rochester, NY 14625-2666

Mailing address

20 Hagen Dr
Suite 340
Rochester, NY 14625-2666
Phone (585) 385-2020

Other names 1

  • Barbora Hnizda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824002636 NY Order and Referring Only - DentistPractitioner - Dentist 8224323647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057416NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1861831141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252666",
            "telephone_number": "585-385-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252666",
            "telephone_number": "585-385-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "BARBORA",
        "middle_name": "HNIZDA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBORA",
            "last_name": "HNIZDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.