Individual provider Active NPI

Ethan Aranov, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1912094285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044014 Issued in NY
Practice address
2494 Browncroft Blvd
Rochester, NY 14625-1410
Phone
(585) 586-1200
Fax
(585) 586-8007
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044014 NY Primary

Addresses

Primary practice location

2494 Browncroft Blvd
Rochester, NY 14625-1410

Mailing address

2494 Browncroft Blvd
Rochester, NY 14625-1410
Phone (585) 586-1200

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
I20170309000562 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1850675919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044014NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912094285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 BROWNCROFT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251410",
            "telephone_number": "585-586-1200",
            "fax_number": "585-586-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BROWNCROFT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251410",
            "telephone_number": "585-586-1200",
            "fax_number": "585-586-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANOV",
        "first_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.