NPIMap

Organization Active NPI

Victor Endodontics, PLLC

  • Endodontics
  • Victor, NY
National Provider Identifier
1891100681
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
056944 Issued in NY
Legal business name
VICTOR ENDODONTICS, PLLC
Practice address
6532 Anthony Dr Ste C
Victor, NY 14564-1403
Phone
(585) 502-8765
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Brian Thomas Shaughnessy, DDSNPI 1508024787
Title
Manager
Phone
(989) 430-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 056944 NY Primary

Addresses

Primary practice location

6532 Anthony Dr Ste C
Victor, NY 14564-1403

Mailing address

6532 Anthony Dr Ste C
Victor, NY 14564-1403

National Provider Directory

National Provider Directory

Locations

6532 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 502-8765

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1891100681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641403",
            "telephone_number": "585-502-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-430-7219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "056944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.